7. Hepatobiliary system - Memon

• What is the main structure that hold the liver in position?

  hepatic veins to inferior vena cava
• What do you need to cut to move the liver?

  hepatic vein
• If you cut the peritoneal ligament - what happen to the liver?

  liver is slightly rotated
• What is the bare area of the liver?

  part of the liver that is not covered by peritoneum and it is in contact with diaphragm
• How is the bare area of the liver important?

  protacaval anastomosis - infection can spread from abdominal cavity to thoracic cavity
• Cystohepatic triangle of Calot can be dissected during cholecystectomy

  • contain
  • cystic artery
  • cystic duct
• Cystohepatic triangle of Calot

  • superior - liver
  • laterally - cystic duct
  • medially - common hepatic duct
  • contain - cystic artery and cystic lymph node
• Murphy's sign - elicited in pt with acute cholecystitis

  • occur with inflamed gallbladder
• porta hepatis, or hilum - lies between the caudate and quadrate lobes
• porta hepatis contain

  • hepatic ducts
  • branches of hepatic artery
  • portal vein
• sub-phrenic recesses - space between diaphragm and diaphragmatic surface of liver
• subphrenic recesses - separated by falciform ligament
• where is the morison pouch or hepatorenal recess is located?

  subhepatic space
• Liver biopsy using - US or CT - right 8-10 intercostal space in midaxillary line

  • TIPS - transjugular intrahepatic portosystemic shunt - alternative pathway