[A Case of Long-Term Survival Due to Two Pulmonary Resections for Lung Metastases following Pancreatic Cancer Surgery]

A man in his 60s presented with jaundice. He was diagnosed with BR pancreatic head cancer with SMV infiltration. He underwent subtotal stomach-preserving pancreaticoduodenectomy(SSPPD)and SMV resection. He had an uneventful postoperative course and was discharged on day 13. Pathology revealed T4N1(3/28)M0, Stage Ⅳa. After adjuvant chemotherapy, a solitary left lung nodule was detected 2 years and 6 months postoperatively. It was diagnosed as recurrence. After chemotherapy, thoracoscopic partial lung resection was performed 3 years and 6 months postoperatively. Three months later, another solitary nodule was found in the left lung. Thus, a second thoracoscopic partial lung resection was performed 6 years and 1 month postoperatively to remove the lung metastasis. There has been no recurrence since, and the patient has achieved long-term survival of over 9 years after the initial surgery. This is a rare case of long-term survival after 2 metastasis resections, which we report with a brief literature review.