The practice of surgery . -forms of inflammation, curious tumors, tuberculosis, and writers on internal medicine deal with these matters. I refer thereader to such treatises as those of Xothnagel, Osier, Wood, Fitz, andthe larger systems of surgery. CHAPTER V THE LIVER AND BILE-PASSAGES The Liver In general terms it is convenient for the surgeon to regard the Uveras an accessory digestive organ—accessory to the stomach and in-testines, ^loreover, it is interesting to reflect that by far the mostimportant portion, surgically, of the liver apparatus is the system ofducts connecting
The practice of surgery . -forms of inflammation, curious tumors, tuberculosis, and writers on internal medicine deal with these matters. I refer thereader to such treatises as those of Xothnagel, Osier, Wood, Fitz, andthe larger systems of surgery. CHAPTER V THE LIVER AND BILE-PASSAGES The Liver In general terms it is convenient for the surgeon to regard the Uveras an accessory digestive organ—accessory to the stomach and in-testines, ^loreover, it is interesting to reflect that by far the mostimportant portion, surgically, of the liver apparatus is the system ofducts connecting the Hver with the bowel. Not that the liver in itselfis devoid of surgical mterest, but such interest is infrequent comparedwith interest in the bile-passages. Though diseases of the liver arecommon in the experience of the internist, it is an unfortunate fact. Fig. SO.—Relations of liver. that, as yet, surgical therapeutics has found small place in the greatfield of the liver proper. There are certain liver lesions which have always belonged to thesurgeon, and lately two or three other diseases of that organ have beenadded to this list. Abscesses, traumatic injuries, cysts, and tumorsare the most important of the lesions of the Hver. long recognized assurgical. Lately, the surgeon has treated cirrhosis and ptosis. Remember how the right lobe makes up the bulk of the liver; howthe left lobe stretches out to the left across the epigastrium; how thebroad suspensory ligament, with its round ligament coming up from 155 156 THK ABDOMEN the navel, lies between the lobes; how the lower jiosterior j)oiiion ofthe right lobe is uncovered of i)eritoueuni; how the small (jvia(h-atelobe appears in the midst on the untler surface, with the gall-bhitlderlying between it and the right lobe, while at its base lie the ducts, theportal vein, and the hepatic
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
