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The liver is the
largest gland in the body, weighing between 1 and
2.3kg.It is a nutritional factory in the human body
assimilating and supplying all the nutrients to all the
tissues in the body.The liver is enclosed in a thin
capsule and incompletely covered by a layer of
peritoneum. Folds of peritoneum from supporting
ligaments attaching the liver to the inferior surface of
the diaphragm. It is held in position partly by these
ligaments and partly by the pressure of the organs in
the abdominal cavity. The liver is described as having
four lobes . The two most obvious are the large right
lobe and the smaller, wedge-shaped, left lobe. The other
two, the caudate and quadrate lobes, are on the
posterior surface.
Location
: Liver is situated in the upper part of
the abdominal cavity occupying the greater part of the
right hypocondriac region, part of the epigastric region
and extending into the left hypocondriac region. Its
upper and anterior surfaces are smooth and curved to fit
the under surface of the diaphragm, its posterior
surface is irregular in shape.
Organs associated
with :
Superiorly and anteriorly -- diaphragm and anterior
abdominal wall Inferiorly-- stomatch, bile ducts,
duodenum, right colic flexure of the right kidney and
adrenal gland colon,posteriorly-- oesophagus, inferior
vena cava, aorta, gall bladder , vertibral column and
diaphragm Laterally-- ower ribs and diaphragm
The portal fissure
:
This is the name given to the part on the posterior
surface of the liver where various structures enter and
leave the gland. The portal vein enters, carrying blood
from the stomatch, spleen, pancreas and the small and
large intestines. The hepatic artery enters, carrying
arterial blood. It is a branch from the coeliac artery
which is a branch from the abdominal aorta. Nerve
fibres, sympathetic and parasympathetic. The right and
left hepatic ducts leave, carrying bile from the liver
to the gall bladder. Lymph vessels leave the liver,
draining some lymph to abdominal and some to thoracic
nodes.
Blood supply: The hepatic artery and the portal
vein take blood to the liver. Hepatic veins, varying in
number, leave the posterior surface and immediately
enter the inferior vena cava just below the
diaphragm
.
The structure :
The lobes of the liver are made up
of tiny lobules just visible to the naked eye. These
lobules are hexagonal in outline and are formed by
cubical-shaped cells, the hepatocytes, arranged in pairs
of columns radiating from a central vein. Between two
pairs of columns of cells there are sinusoids (blood
vessels with incomplete walls) containing a mixture of
blood from the tiny branches of the portal vein and
hepatic artery. This arrangement allows the arterial
blood and venous blood (with a high concentration of
nutritional materials) to mix and come into close
contact with the liver cells. Some cells, lining the
sinusoids, are hepatic macrophages(Kipffer cels). Blood
drains from the sinusoids into central or centrilobular
veins. These then join with veins from other lobules,
forming larger veins, until eventually they become the
hepatic veins which leave the liver and empty blood into
the inferior vena cava just below the diaphragm. One of
the functions of the liver is to secrete bile. The bile
canaliculi run between the columns of liver cells. This
means that each column has a blood sinusoid on one side
and a bile canaliculus on the other. The canaliculi join
up to form larger bile canals until eventually they form
the right and left hepatic ducts which drain bile from
the liver. Lymphoid tissue and a system of lymph vessels
are present in each lobule.
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