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Exploration of liver, gall bladder, pancreas, duodenum and spleen

Dissection of porta hepatis; cystic duct and cystic artery

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Image #145-3
Bassett ImageDiagram Image
Legend Image
Exploration of liver, gall bladder, pancreas, duodenum and spleen
Dissection of porta hepatis; cystic duct and cystic artery
The ligamentum teres (18) has been pulled toward the left to reveal the structures which enter the liver through the porta hepatis. The hepatic artery (23) and the portal vein (8) have been dissected as they pass into the liver through the porta hepatis. The extensive hepatic plexus (7, 17) which accompanies the hepatic and accessory hepatic arteries has been preserved. The common bile duct (12) can be traced upward along the right margin of the dissected lesser omentum into the liver. The right and left hepatic ducts (6), and the cystic duct (9) have been exposed. Additional dissections of the biliary tract are shown in views 146-4, 146-6 and 146-7.
1 . Hepatic veins
2 . Ligamentum venosum
3 . Left branch of portal vein
4 . Right branch of portal vein
5 . Upper pointer: Right branch of hepatic artery Lower pointer: Tributaries of left branches of portal vein, hepatic artery and hepatic duct (cut off)
6 . Left pointer: Right hepatic duct Right pointer: Left hepatic duct
7 . Upper pointer: Hepatic plexus Lower pointer: Cystic artery
8 . Upper pointer: Portal vein Lower pointer: Supraduodenal artery (cut off)
9 . Cystic duct
10 . Body of gallbladder
11 . Neck of gallbladder
12 . Common bile duct
13 . Diaphragm
14 . Abdominal part of esophagus
15 . Caudate lobe
16 . Stomach
17 . Hepatic plexus (accompanying accessory hepatic artery)
18 . Ligamentum teres (retracted toward stomach)
19 . Upper pointer: Left gastric artery Lower pointer: Left gastric vein
20 . Left pointer: Right branch of hepatic artery Right pointer: Vestibule of omental bursa
21 . Hepatic lymph nodes
22 . Pancreas
23 . Common hepatic artery
24 . Gastroduodenal artery
25 . Pylorus