Recurrence of hepatocellular carcinoma (HCC) after hepatic resection is quite common. Peritoneal
recurrence has been considered incurable status and related to poor prognosis. Although
peritoneal metastasectomy is a therapeutic option for some selected patients with a few
peritoneal metastasis, the indication and therapeutic effect has not been clear. We report a
case
of a 61-year-old man achieving complete remission of recurrent peritoneal metastasis after
repeated surgical resection by a multidisciplinary approach. Peritoneal metastasectomy might
be a therapeutic option for selected patients with localized oligonodular peritoneal metastasis.