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ANATOMI HEPAR

DR dr Ratna Indrawati L, M.Kes


LIVER ANATOMY

The liver is the largest gland in the body,


weighing about 1.4 Kg. It is located under
the diaphragm, within the rib cage in the
upper right quadrant of the abdomen.
The liver is an accessory digestive gland.
LIVER

GALL
BLADDER

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LIVER ANATOMY
4 Lobes
Major: Left and right
Minor: Caudate and quadrate
Ducts
Common hepatic
Cystic
From gallbladder

Common bile
Joins pancreatic duct at hepatopancreatic ampulla

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LIVER ANATOMY
The liver is composed of liver lobules which are roughly
hexagonal structures consisting of hepatocytes. The
hepato-cytes radiate outward from a central vein. At
each of the six corners of a lobule is a portal triad.
Between the hepatocytes are the liver sinusoids.

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4 lobus Lobus kanan dan lobus kiri dipisahkan oleh ligamen falciform.
Berhubungan dengan lobus kanan,bagian bawahnya terdapat lobus

quadratus ,sedang dibag. Belakang lobus caudatus .


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Left and
right
hepatic
ducts

Cysti Lesser
c omentu
m
Duct 6
LIVER ANATOMY
The hepatocytes
produce bile which flows
through canals, called
bile canaliculi to a bile
duct. The bile ducts
eventually leave the liver
via the common hepatic
duct.

The hepatocytes also


process nutrients into
macromolecules, store
fat-soluble vitamins, and
play an important part in
detoxification. 7
LIVER ANATOMY
Bile is a yellow green alkaline solution containing bile salts, bile
pigments, cholesterol, neutral fats, phospholipids, and a variety of
electrolytes. The liver produces to 1 liter of bile daily.

Bile salts emulsify fats. As a result, large fat globules entering the
small intestine are physically separated into millions of small fat
droplets to be digested and absorbed.

LIVER

GALL
BLADDER

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LIVER ANATOMY

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Kandung empedu/ Vessica
fellea
Membran berotot, panjang 812 cm, isi 60
cm3
Duktus Cysticus menghubungkan kandung
empedu dg ductus pancreaticus communis
Struktur mirip kantung pada permukaan hati
Empedu disimpan dan dikonsentrasikan
Empedu dikirim ke usus halus
Kemungkinan terjadi batu kandung empedu
(dari empedu dan kolesterol yang
berpresipitasi shg membtk kristal) krn diet
drastis dg penurunan berat badan yang
cepat 10
PANKREAS
LOKASI
Pancreas (kelenjar ludah perut) terletak
melintang pada dinding dorsal abdomen di
regio epigastrica dan hypochondrica
sinistra.
BENTUK DAN UKURAN
Pancreas berbentuk huruf J yang di
rebahkan, panjang 12.5-15 cm.
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BAGIAN-BAGIANNYA
Caput Pancreatis
Collum pancreatis
Corpus pancreatis
Cauda pancreatic
VASCULARISATIO
Arteri Pancreatico-duodenalis superior
Arteri pancreatico-duodenalis inferior
INNERVATIO
Susunan saraf simpatis dan parasimpatis
melalui plexus coeliacus.

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PANCREAS
ANATOMY

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Vascularisatio :
A. Pancreatico-duodenalis
superior
A. Pancreatico-duodenalis
inferior
Rr. Pancreatici A. Lienalis
Innervatio :
Susunan saraf simpatis dan
parasimpatis melalui plexus
coeliacus.
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VARIANS DUCTUS
PANCRETICUS
Double Accessory Pancretic Ducts (Santorini).
Anastomosis between Ducts.
Crossing of Ducts.
Double Crossing of Ducts.
No Communication between Ducts.
Double (Principal) Pancretic Ducts (Wirsungi).
Tortuosity of Ducts.
Absence of Accessory Pancreatic Duct
(Santorini).

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dr Lucky Brilliantina, Anatomi 18
FKUPN
THANK YOU

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