Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
IX.--The portal system of veins passing to the liver, and the hepatic
veins passing from this organ to join the inferior vena cava, exhibit in
respect to the median line of the body an example of a-symmetry, since
appearing on the right side, they have no counterparts on the left. As
the law of symmetry seems to prevail universally in the development of
organized beings, forasmuch as every lateral organ or part has its
counterpart, while every central organ is double or complete, in having
two similar sides, then the portal system, as being an exception to this
law, is as a natural note of interrogation questioning the signification
of that fact, and in the following observations, it appears to me, the
answer may be found. Every artery in the body has its companion vein or
veins. The inferior vena cava passes sidelong with the aorta in the
abdomen. Every branch of the aorta which ramifies upon the abdominal
parietes has its accompanying vein returning either to the vena cava or
the vena azygos, and entering either of these vessels at a point on the
same level as that at which itself arises. The renal vessels also have
this arrangement. But all the other veins of the abdominal viscera,
instead of entering the vena cava opposite their corresponding arteries,
unite into a single trunk (vena portae), which enters the liver. The
special purpose of this destination of the portal system is obvious, but
the function of a part gives no explanation of its form or relative
position, whether singular or otherwise. On viewing the vessels in
presence of the general law of symmetrical development, it occurs to me
that the portal and hepatic veins form one continuous system, which
taken in the totality, represents the companion veins of the arteries of
the abdominal viscera. The liver under this interpretation appears as a
gland developed midway upon these veins, and dismembering them into a
mesh of countless capillary vessels, (a condition necessary for all
processes of secretion,) for the special purpose of decarbonizing the
blood. In this great function the liver is an organ correlative or
compensative to the lungs, whose office is similar. The secretion of the
liver (bile) is fluidform; that of the lungs is aeriform. The bile being
necessary to the digestive process, the liver has a duct to convey that
product of its secretion to the intestines. The trachea is as it were
the duct of the lungs. In the liver, then, the portal and hepatic veins
being continuous as veins, the two systems, notwithstanding their
apparent distinctness, caused by the intervention of the hepatic
lobules, may be regarded as the veins corresponding with the arteries of
the coeliac axis, and the two mesenteric. The hepatic artery and the
hepatic veins evidently do not pair in the sense of afferent and
efferent, with respect to the liver, both these vessels having
destinations as different as those of the bronchial artery and the
pulmonary veins in the lungs.
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