LIVER AND BILIARY PASSAGES

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1
The liver has both   and  functions
The liver has both exocrine and endocrine (i.e. clotting factors) functions
2
The liver occupies the  ,  and   (regions)
The liver occupies the right hypochondrium, epigastrium and left
hypochondrium
(regions)
3
Diaphragmatic surface –  ,  
Diaphragmatic surface – convex, smooth
4
Vicersal surface- related to the  ,  ,  ,  
Vicersal surface- related to the right colic flexure, right kidney, stomach, duodenum
5
Two lobes of the liver
 near the costal margin
  posterior, near the diaphragm and closer to the
hepatic vessels
Two lobes of the liver
Quadrate: near the costal margin
Caudate: posterior, near the diaphragm and closer to the
hepatic vessels
6
The quadrate and caudate lobes are part of the  
The quadrate and caudate lobes are part of the right lobe
7
The gallbladder is near the  , near the
 
The gallbladder is near the quadrate lobe, near the
costal margin
8
The gallbladder is between the   and the
 
at the  
The gallbladder is between the right
costal margin
and the
right linea semilunaris
at the transpyloric
plane (L1).
9
The   liver separates the liver into two lobes and is one of the peritoneal folds
The falciform liagment liver separates the liver into two lobes and is one of the peritoneal folds
10
TEST QUESTION The quaradrate and caudate lobes are part of the  
TEST QUESTION The quaradrate and caudate lobes are part of the right lobe
11
The liver is covered by the peritoneum EXCEPT at the
 
The liver is covered by the peritoneum EXCEPT at the
“bare”
area.
12
The bare space is associated with the 
The bare space is associated with the IVC
13
When the falciform ligament (Obliterated  )
gets to the visceral surface of the liver it changes names:
•Coronary ligaments:  
• Triangular ligaments: 
When the falciform ligament (Obliterated umbilical vein)
gets to the visceral surface of the liver it changes names:
•Coronary ligaments: anterior/posterior
• Triangular ligaments: right/left
14
Liagamentum teres forms the  
Liagamentum teres forms the obliterated umbilical vein
15
In the fetus the  sends blood from the umbilical vein
directly to the inferior vena cava.
In the fetus the ductus venosus sends blood from the umbilical vein
directly to the inferior vena cava.
16
• BLOOD SUPPLY Liver
 
 
 
• BLOOD SUPPLY Liver
• Portal vein
• Hepatic arteries (celiac trunk)
• Hepatic veins (into the IVC)
17
NERVE SUPPLY of liver
•   from the 
NERVE SUPPLY of liver
• Hepatic plexus from the celiac plexus
18
Anterior =  . Posterier =  
Anterior = quadrant vein. Posterier = caudate.
19
Relationship of Gallbladder
Inferior:  
Anterior =  
Posterior =  
Relationship of Gallbladder
Inferior: duodenum and billary tree
Anterior = inferior border of liver and anterior abdominal wall
Posterior = transverse colon and proximal dudodenum
20
Right hepatic duct + left hepatic duct = 
Right hepatic duct + left hepatic duct = common hepatic duct
21
• Common hepatic duct + cystic duct =  
• Common hepatic duct + cystic duct = common bile duct.
22
• Common bile duct + main pancreatic duct =   to  to 
• Common bile duct + main pancreatic duct = hepatopancreatic
ampulla
to greater duodenal papilla to 2nd part of
duodenum.
23
The ampullary portion of the bile duct is guarded by the
 
The ampullary portion of the bile duct is guarded by the
Sphincter of Oddi
24
The bare area is on the  surface of the right lobe with the 
The bare area is on the viseral surface of the right lobe with the IVC
25
What is the blood supply of the gallbladder and bile duct?
Cystic artery (right hepatic artery [common hepatic artery] {celiac trunk})
26
What is the nerve supply of the bile duct?
Vagus (parasympathetic)
Greater splanchnic nerve (sympathetic)
27
What are the 3 borders of the Hepatocystic Triangle of Calot?
1. Inferior border of liver (superiorly)
2. Common hepatic (medial)
3. Cystic duct (laterally)
28
What are the contents of the Hepatocystic Triangle of Calot?
1, Lymph node of calot
2, Cystic artery
29
Trainagle of calot is important for  
Trainagle of calot is important for laproscopic surgery
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