Exploration of liver, gall bladder, pancreas, duodenum and spleen
Ligamentum teres and ligamentum venosum; caudate lobe and superior recess of omental bursa
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Image #145-2
Exploration of liver, gall bladder, pancreas, duodenum and spleen
Ligamentum teres and ligamentum venosum; caudate lobe and superior recess of omental bursa
The dissection of the liver has been extended into the right lobe. The fissural surface of the caudate lobe has been exposed by removal of the gastrohepatic part of the lesser omentum which extended into the fissure for the ligamentum venosum to fuse with the ligamentum venosum (3). The view is directed across the stomach from the left side.
- Area of junction of lesser omentum and coronary ligament of liver
- Hepatic vein
- Ligamentum venosum
- Right lobe of liver
- Upper pointer: Branch of left hepatic duct (cut off) Lower pointer: Branch of portal vein (also note accompanying branch of accessory hepatic artery)
- Upper pointer: Hepatic plexus Lower pointer: Left branch of portal vein
- Upper pointer: Branch of left hepatic duct Lower pointer: Branch of hepatic artery
- Common hepatic duct
- Cystic artery
- Ligamentum teres (cut across)
- Body of gallbladder
- Diaphragm (cut end of inferior vena cava visible in background)
- Left vagus nerve
- Inferior phrenic vein
- Margin of esophageal hiatus
- Abdominal part of esophagus
- Caudate lobe
- Esophageal branches of left gastric artery
- Accessory hepatic artery
- Left gastric artery
- Superior omental recess (along accessory hepatic artery)
- Left gastric vein
- Stomach
- Pancreas
- Hepatic lymph node
- Hepatic plexus
- Common hepatic artery (pointer at bifurcation into gastroduodenal artery and proper hepatic artery)
- Common bile duct