1. Hajnalka Heged s, MD

2. covered by the Glisson's capsule; intraperitoneal
organ (except the bare area [ area nuda hepatis] )
diaphragmatic surface inferior border of liver
visceral surface notch for round ligament of liver
right lobe
(located in the right hypochondrium)
left lobe falciform ligament
(in the epigastrium and left hypochondrium)
derivative of the embryonic ventral mesogastrium

4. right lobe left lobe
Lig. teres hepatis
Lig. teres hepatis
Lig. teres hepatis
falciform ligament round ligament

5. Visceral surface ( 1) H - shaped set of
grooves
cross-bar of the H is the porta hepatis: - common hepatic duct (on the right)
- hepatic portal vein
- hepatic artery proper (on the left)
left-hand limb of right-hand limb of
the H : the H :
- in the anterior half
- in the anterior half fossa for gallbladder:
fissure for round lig.: gallbladder
round lig. (remnant of the
umbilical vein)
- in the posterior half - in the posterior half
fissure for lig. venosum: groove for vena cava:
lig. venosum (remnant of _inferior vena cava
the ductus venosus)

6. Anterior to the porta Posterior to the porta
hepatis, there is a lobe hepatis, there is another
(between the fissure for lobe (between the fissure
round lig. and the fossa for lig. venosum and the
for gallbladder): groove for venae cava):
* *
QUADRATE LOBE CAUDATE LOBE
(papillary and caudate
processes)

7. remnant of ductus venosus
inferior vena cava
porta
hepatis
connective tissue bundle gallbladder

8. Peritoneal attachments of liver
( intraperitoneal expect for the BARE AREA)
falciform lig. of liver LESSER OMENTUM
(remnant of the ventral - hepatogastric lig.
mesogastrium) - hepatoduodenal lig.
a/ left coronary lig. left
triangular lig. fibrous
appendix
b/ right coronary lig.
hepatorenal lig. right - bile duct (choledochal duct)
triangular lig. / on the right/
BARE AREA of LIVER - hepatic portal v. / behind the
other two items/
- a. hepatica propria / on the
left/
ChoVA!

9. Blood supply to Lymphatic drainage
and innervation of the
the liver , and its
liver
venous drainage - lymphatics originate in the interlobular
hepatic a. proper (from common connective tissue, the larger lymphatic vessels
hepatic a. ; from coeliac trunk) leave the liver in some pathways:
hepatic portal v. - via the porta hepatis hepatic
lymphatic nodes
interlobar a. and v. - along the hepatic vv. media-
stinal lymphatic nodes
interlobular a. and v. - in the falciform lig. para-
sternal lymphatic nodesi and nodes
perilobular a. and v. around the aorta
hepatic sinuses (mixture)
central v. Innervation: coeliac ganglion
vagus n. ( cranial n. X)
sublobular v.
hepatic veins inferior vena cava

10. gallbladder / bile cyst / cholecysta
Parts: fundus
body
neck
cystic duct
common hepatic
duct
bile duct
Peritoneal attachments
Blood supply and venous
drainage
cystic a. hepatic a. proper
cystic v. hepatic portal v.
Lymphatic drainage: lymph
nodes of porta hepatis

12. Practical assignments ( liver )
Study the peritoneal attachments of the liver,
surfaces,
items of the H-shaped set of grooves and their
contents.
Inferior margin of the liver is lifted, and the following items should be
found:
- hepatoduodenal lig. containing
(1) bile duct / choledochal duct on the right
(2) hepatic portal v. between and behind the other two structures
(3) hepatic a. proper on the left)
ChoVA!
- porta hepatis

13. 1-2
Parts of pancreas Excretory ducts of the
pancreas
head of pancreas - pancreatic duct ( Wirsung duct)
uncinate process of pancreas (in the tail and body)
opens into the hepatopancreatic ampulla
pancreatic notch major duodenal papilla ( papilla of
Vater)
body of pancreas
omental eminence - accessory pancreatic duct ( Santorini
( bulges into the omental bursa) duct)
(in the head)
tail of pancreas minor duodenal papilla ( papilla of
Santorini)
at its superior margin splenic
vessels (a. and v.)

14. Topographical relationships of
the duodenum and the pancreas

15. Pancreas: blood supply, venous and
lymphatic drainage and innervation
superior pancreaticoduodenal a. (supply the head)
inferior pancreaticoduodenal a.
splenic a. (supplies the body and tail)
splenic v. to the hepatic portal v.
Lymphatic drainage:
preaortin lymph nodes
Innervation:
coeliac ganglion
vagus nerve

16. Practical assignments ( pancreas)
Study the topographical anatomy of the pancreas
Find the superior mesenteric vessels (a. and v.)
Explore the vicinity of the superior margin of the
pancreas; examine the splenic a., and the
accompanying splenic v.)
Follow the splenic v. to the hepatic portal v.
Isolate the coeliac trunk above the superior margin aof
the pancreas