The Liver

1. LIVER
(Page 182)
Dr.Sherif Fahmy

2. Shape
&Size
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3. Site
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4. Lobes of the liver:
A- Anatomical:
- Left lobe.
- Right lobe.
- Caudate lobe.
- Quadrate lobe.
B- Surgical & physiological:
-Left lobe: Medial (superior & inferior) and
lateral (superior & inferior) segments.
-Right lobe: Anterior (superior & inferior) and
posterior (superior & inferior) segments.
Dr.Sherif Fahmy

5. Anatomical Devisions
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6. Anatomical
Lobes
Dr.Sherif Fahmy

7. Fissure of ligamentum
venosum
Fissure of
ligamentum teres
Left lobe
Dr.Sherif Fahmy

8. Surgical & Physiological
Divisions
(Page 183)
Dr.Sherif Fahmy

9. Lat. superior
seg.
Lat. inferior
seg.
Med. Superior
seg.
Med. Inferior
seg.
Ant. Superior
seg.
Post.
Superior
seg.
Post.
Inferior
seg.
Ant. Inferior seg.
Line between gall
bladder & inferior
vena cava
Dr.Sherif Fahmy

10. Dr.Sherif Fahmy

11. Surfaces, Border
&
Relations
(Page 187)
Dr.Sherif Fahmy

12. Anterior, Superior and
Right Relations
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13. Dr.Sherif Fahmy

14. Posterior & Inferior
Relations
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15. Posterior Surface
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16. Dr.Sherif Fahmy
posterior
Inferior

17. Dr.Sherif Fahmy

18. Groove for
esophagus
Fissure for
lig. venosum
Caudate
lobe
I.V.C
.
Upper layer of
coronary lig.
RT triangular
lig.
Lower
layer of
triangular
lig.
Gall
bladder
Quadrate
lobe
Fissure for
ligamentum. teres
Omental
tuberosity
Gastric area
Bare area
Porta
hepatis
Papillary
process
Caudate process
Inferior
surface of RT
lobe
Dr.Sherif Fahmy

19. Inferior (Visceral)
Surface
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20. Dr.Sherif Fahmy

22. Esophagus
Stomach
Lesser omentum
Pyloro-duodenal
junction Area for
transverse colon
Gall
bladder
2nd
part of
duodenum
Rt. Colic
flexure
Rt. kidney
Dr.Sherif Fahmy

23. Peritoneal Relations
(page 191)
Dr.Sherif Fahmy

24. Areas not covered with peritoneum:
1- Bare area of the liver.
2- Fossae for gall bladder & for IVC.
3- Porta hepatis.
Peritoneal folds related to liver:
1- Falciform ligament.
2- Coronary ligament.
3- Triangular ligaments.
4- Lesser omentum (Page 82)
Dr.Sherif Fahmy

25. Falciform Ligament
(Page 193)
Dr.Sherif Fahmy

26. Falciform
ligament
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28. Dr.Sherif Fahmy

30. Coronary Ligament
(Page 195)
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33. Triangular Ligaments
(Page 195)
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34. Dr.Sherif Fahmy

35. Lesser Omentum
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36. Fissure of ligamentum
venosum
Lesser
omentum
Porta hepatis
Dr.Sherif Fahmy

37. Lesser omentum
Dr.Sherif Fahmy

38. Subphrenic SpacesSubphrenic Spaces
((Page 86Page 86))
Dr.Sherif Fahmy

39. Dr.Sherif Fahmy

40. Fissures of the Liver
(Page 185)
1- Porta hepatis.
2- Fissure of ligamentum venosum.
3- Fissure of ligamentum teres.
Dr.Sherif Fahmy

41. Dr.Sherif Fahmy

42. Ligaments of the Liver:
(Page 186)
A- Obliterated vascular ligaments:
1- Ligamentum teres.
2- Ligamentum venosum.
B- Peritoneal ligaments:
1- Coronary ligament.
2- Right & left triangualr ligaments.
3- Lesser omentum.
4- Falciform ligament.
Dr.Sherif Fahmy

43. Surface Anatomy
(Page 196)
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44. Dr.Sherif Fahmy

45. Blood Supply of Liver
(Page 197)
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46. Portal Vein
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47. Hepatic Artery
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48. Dr.Sherif Fahmy

49. Lymphatic Drainage:(Page 197)
A- Lymph vessels: Superficial & Deep.
B- Lymph nodes:
1- Lateral diaphragmatic nodes.
2- Paracardial nodes.
3- Hepatic nodes.
4- Coeliac nodes.
Dr.Sherif Fahmy

50. Dr.Sherif Fahmy

51. Factors supporting liver in
position:(Page 198)
1- Hepatic veins.
2- Intra-abdominal pressure.
3- Tone of anterior abdominal muscles.
4- Peritoneal folds and ligaments.
Dr.Sherif Fahmy

52. Applied Anatomy of liver:
1- How we stop bleeding from liver ?
2- How we determine liver enlargement by
examination ?
3- Site of hepatic pain.
4- Partial hepatectomy and partial liver
transplantation.
Dr.Sherif Fahmy

53. Extra-hepatic Biliary
Passage
(Page 199)
Dr.Sherif Fahmy

54. Hepatic & Cystic Ducts
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55. Hepatic Artery
Common
Bile duct
Common
hepatic
duct
Gastro-
duodenal art.
Cystic
duct
Dr.Sherif Fahmy

56. Common Bile Duct
(Page 200)
Dr.Sherif Fahmy

57. Hepatic Artery
Common
Bile duct
Common
hepatic
duct
Gastro-
duodenal art.
Cystic
duct
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61. Gall BladderGall Bladder
Page 201Page 201
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