The liver is a very important glandular organ, very constant in the
animal series, being found in all the vertebrates, and, in a more or
less developed condition, in most invertebrate tribes. It secretes
bile, and appears to act upon the blood which is transmitted through
it. The liver is the largest gland in the body, and by far the most
bulky of the abdominal viscera. It measures from ten to twelve inches
transversely from right to left, between six and seven inches from
its posterior to its anterior border, and about three and a half
inches from above downwards where thickest, which is towards the
right and posterior part. The average bulk is about eighty-eight
cubic inches. The ordinary weight in the adult is between 50 to 60
ounces, about one-thirtieth of the weight of the whole body. The
liver is solid to the feel, and of a dull reddish-brown color, with
frequently a dark-purplish tinge along the margin. It has an upper
surface smooth and convex, and an under surface which is uneven and
concave. The liver is divided into two unequal lobes, a right and a
left, and on the under surface of the right lobe are three secondary
lobes or lobules, named the lobe of Spigolius, the caudate or tailed
lobe, and the square lobe. It has five fissures or fossæ, described
as the transverse or portal; the umbilical fissure and the fissure
of the ductus venosus, together forming the longitudinal fissure;
the fossa of the vena cava, and the fossa of the gall bladder. It is
held in position by five ligaments formed by layers of peritoneum.
The liver is situated on the right side of the body under the
diaphragm. The convex surface is protected, on the right by the six
or seven lower ribs, and in front by the cartilages of the same, and
by the ensiform cartilage, the diaphragm of course being interposed.
To the left of the longitudinal fissure the liver is in contact with
the pyloric extremity and anterior surface of the stomach, on which it
moves freely. When the stomach is quite empty, the left part of this
surface of the liver may overlap the cardiac end of that organ. To
the right of the longitudinal fissure the liver rests upon the first
part of the duodenum and the hepatic flexure of the colon. Farther
back it is in contact with the upper part of the right kidney and
suprarenal capsule.
The two blood-vessels which supply the liver are the hepatic artery and
the vena porta. The hepatic vein conveys the blood away from the liver.
The lymphatics of the liver are large and numerous, forming a deep
and a superficial set.
The nerves are derived partly from the coeliac plexus and partly from
the pneumogastric nerve, especially from the left pneumogastric.
The excretory apparatus of the liver consists of the hepatic duct,
the cystic duct, gall bladder, and common bile duct.
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