Long–term survivors after liver resection for gastric metastases are very rare and treatment is usually based on chemotherapy alone. The aim of this study is to describe a patient who presented with gastric adenocarcinoma with synchronous, liver metastases. More than 11 years after surgery, the patient is alive without any evidence of recurrence.

In August 2005, a 37 years old male patient presented with gastric antral adenocarcinoma and synchronous liver metastases and pre–operative staging did not reveal any extrahepatic disease.

The patient underwent two stages surgical treatment with a total gastrectomy and an extended liver resection (Left hemi–hepatectomy and right bisegmentectomy). The post–operative course was uneventful. In January 2017, follow–up assessment did not show any evidence of recurrence.

Surgery for liver metastases of gastric origin should be considered as an option to treat selected patients, including those with bilobar, synchronous disease.