Exploration of liver, gall bladder, pancreas, duodenum and spleen
Relations of inferior vena cava and liver
The parts of the liver which lie anterior and to the left of the inferior vena cava have been cut away to expose the vena cava (3) as it approaches the diaphragm and is joined by the right and left hepatic veins. The liver has been pulled somewhat to the right. The segment of the vena cava which lay behind the epiploic foramen is indicated by the band of peritoneum(9) which has been left intact across the vessel. Immediately above this area, as vena cava approaches the liver, a sizable hepatic vein (6) enters the vena cava from the lower part of the right hepatic lobe. Other smaller hepatic tributaries to the vena cava have been cut off at higher levels. The celiac artery is obscured by parts of the plexus of nerves which surround it.
Right hepatic vein
Left hepatic vein
Inferior vena cava
Right lobe of liver (dissected)
Left branch of portal vein
Hepatic vein entering vena cava from lower part of right hepatic lobe
Portal vein (cut off)
Common hepatic duct
Margins of peritoneum which formed posterior wall of epiploic foramen
Inferior vena cava (cut off at entrance to pericardial cavity)