Surgical Resection for Benign and Malignant Liver Disease

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Abstract
The indications for major hepatic resections in 32 patients and the results are presented. Twelve right lobectomies, 8 partial left lobectomies, 5 left lobectomies, 4 extended right lobectomies and 3 partial right lobectomies were performed with a 46% complication rate and an operative mortality rate of 12.5%. Ten primary liver cancers, 12 metastatic lesions, 4 hemangiomas and 6 benign lesions were removed. Of 7 patients with hepatomas, 4 are alive at an average of 24 mo. postresection and 3 have no evidence of recurrence. Of 11 adult patients with metastatic lesions, 6 are alive at an average of 27 mo. postresection and 3 patients have no evidence of recurrence. All 4 patients with hemangioma are alive at an average of 7 yr. Experience increased with 7 resections prior to 1970 and 25 since. Operative mortality decreased in that period of time (42 to 4%); complication rate in survivors remained elevated (25 to 50%). Cautious selection of patients for resection of malignant tumors of the liver can apparently extend survival.