Pancreas. Liver. Gallbladder. Spleen Flashcards
Exocrine Panc
Pancreatic acinar
Endocrine
Islets of Langerhans
Level of Tail
T12
Level of panc body
L1
Level of panc head
Head
Formed by ventral panc bud
Head and uncinate
Formed by dorsal panc bud
Body tail
Arteries ligated during pancreatrctomy
Sma, splenic, gastroduodenal
Blood supply of panc
Superior pancreaticoduodenal
Inferior pancreaticoduodenal
Pancreatic arteries from splenic
Panc mass results to obstructive jaundice
Periampullary mass
Sx for periampullary ca
Whipple
Bare area
Post liver without visceral peritoneum
Fissure for what Lig between quadrate and left lobe
Round lig/ ligamentum teres
Fissure between caudate and left lobes
Ligamentum venosum
Fissure bet caudate and right lobes
IVC
Remnant of umbilical vein
Ligamentum teres/ round lig
Remnant of ductus venosus
Lig venosum
Functional unit of liver and also known as acinus of rappaport
Liver acinus
Zones of liver
Zone 1 2 3
Zone closest to portal tract with most 02
Zone 1
Zone least o2 most susceptible to ischemia
Zone 3
Portal triad
Portal vein
Hepatic artery
Bile duct
Blood supply of liver
Portal vein 70%
Hepatic artery 30%
Landmarks for liver biopsy
10th ICS, R mid axillary line
Clamping the hepatoduodenal ligament which contains hepatic artery and portal vein
Pringle maneuver
Parts of GB
Fundus, body, neck
Infundibulum of GB. Jxn bet neck and cystic duct
Hartmann pouch
Usually origin of cystic artery
Right hepatic
Boundaries of triangle of Calot
Superior- liver
Inferior- cystic duct
Medial- common hepatic duct
Contained in triangle of calot
Biliary ducts, cystic artery, hepatic artery
Mesoderm in origin
Spleen
Lymph tissue of spleen
White pulp
Primary site of filtration in spleen
Red pulp
Lig contains tail of panc and splenic vessels
Lienorenal
Lig contains short gastric and left gastroepiploic
Gastrosplenic lig