Long term survival following right hepatic lobectomy

• 1.1. The clinical records of four patients, three of whom underwent total right lobectomies and one of whom underwent subtotal right hepatic lobectomy, are presented.
• 2.2. In two instances the lesions were massive angiomas with survival of patients at this writing of six years and five years, three months, respectively. In two instances the lesions were malignant hepatomas. In one instance (Case III), subtotal right hepatic lobectomy was performed when the patient was fourteen years of age. Five years later she married, and is living and well. In the other instance (Case IV), partial right hepatic lobectomy was performed; two years later the right hepatic lobectomy was completed due to metastasis from the primary lesion. The patient is well five years after the first operation and two years, three months after the second operation.
• 3.3. The cases reported herein illustrate the principle that not only is right hepatic lobectomy consistently feasible but also prolonged survival in good health following such operations for both benign and malignant disease may be anticipated. The left lobe of the liver alone is adequate to meet all physiologic requirements.