In mammals Sir William Flower pointed out that a generalized type of
liver exists, from which that of any mammal may be derived by
suppression or fusion of lobes. The accompanying diagram of Flower
(fig. 4) represents an ideal mammalian liver. It will be seen that the
umbilical fissure (u) divides the organ into right and left halves, as
in the lower vertebrates, but that the ventral part of each half is
divided into a central and lateral lobe. Passing from right to left
there are therefore: right lateral (rl), right central (rc), left
central (lc), and left lateral (ll) lobes. The gall-bladder (g), when
it is present, is always situated on the caudal surface or in the
substance of the right central lobe. The Spigelian (s) and caudate
lobes (c) belong to the right half of the liver, the latter being
usually a leaf-shaped lobe attached by its stalk to the Spigelian, and
having its blade flattened between the right lateral lobe and the
right kidney. The vena cava (vc) is always found to the right of the
Spigelian lobe and dorsal to the stalk of the caudate. In tracing the
lobulation of man's liver back to this generalized type, it is evident
at once that his quadrate lobe does not correspond to any one
generalized lobe, but is merely that part of the right central which
lies between the gall bladder and the umbilical fissure. From a
careful study of human variations (see A. Thomson, _Journ. Anat. and
Phys_. vol. 33, p. 546) compared with an Anthropoid liver, such as
that of the gorilla, depicted by W. H. L. Duckworth (_Morphology and
Anthropology_, Cambridge, 1904, p. 98), it is fairly clear that the
human liver is formed, not by a suppression of any of the lobes of the
generalized type, but by a fusion of those lobes and obliteration of
certain fissures. This fusion is, probably correctly, attributed by
Keith to the effect of pressure following the assumption of the erect
position (Keith, _Proc. Anat. Soc. of Gt. Britain, Journ. Anat. and
Phys_. vol. 33, p. xii.). The accompanying diagram (fig. 5) shows an
abnormal human liver in the Anatomical Department of St Thomas's
Hospital which reproduces the generalized type. In its lobulation it
is singularly like, in many details, that of the baboon (_Papio
maimon_) figured by G. Ruge (_Morph. Jahrb_., Bd. 35, p. 197); see F.
G. Parsons, _Proc. Anat. Soc_., Feb. 1904, _Journ. Anat. and Phys_.
vol. 33, p. xxiii. Georg Ruge "Die äusseren Formverhältnisse der Leber
bei den Primaten," (_Morph. Jahrb_., Bd. 29 and 35) gives a critical
study of the primate liver, and among other things suggests the
recognition of the Spigelian and caudate lobes as parts of a single
lobe, for which he proposes the name of lobus venae cavae. This
doubtless would be an advantage morphologically, though for human
descriptive a natomy the present nomenclature is not likely to be
altered.
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