Supracolic region. Aortic hiatus: T12, aorta, thoracic duct and azygos vein esophageal hiatus: T10, esophagus, left gastric a.v. vagal trunks. vena.

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Presentation transcript:

Supracolic region

Aortic hiatus: T12, aorta, thoracic duct and azygos vein esophageal hiatus: T10, esophagus, left gastric a.v. vagal trunks. vena caval foramen: T8, inferior vena cava

The structures that formed by peritoneum as follow: 1 omentum great omentum lesser omentum 2 mesentery mesentery transverse mesocolon sigmoid mesocolon mesoappendix 3 ligaments

Boundaries of omental bursa: Anteriorly– lesser omentum, post. wall of sto- mach, ant. layers of large omentum Posteriorly– post. layers of large omentum, transverse meso- colon Inferiorly– refleced part of large omentum Superiorly– inf. surface of liver

Anatomy of stomach Position and relationship ( ¼-- at epigastric region , ¾-- at left hypochondriac , cardiac orifice– at left side of T11, pyloric orifice– at right side of L1 Features and divisions( fundus, body, cardiac part pyloric part— canal sinus) Ligaments (hepatogastric lig, gastrosplenic lig, gastrocolic) Blood vessels and lymph drainage nerve

Relationship of stomach Anterior viewPosterior iew Liver Free area Diaphragmatic area Colic area Pancreatic area Renal area Suprarenal area

Blood vessels of stomach(anterior view)

the unpaired br. the celiac trunk * the left gastric a. *the common hepatic a. *the splenic a.

Lymph nodes and lymph drainage of stomach

Main branches: — bronchial branches — esophageal branches — anterior and posterior gastric branches(stomach) — hepatic branches — celiac branches Main branches: — bronchial branches — esophageal branches — anterior and posterior gastric branches(stomach) — hepatic branches — celiac branches

Anatomy of liver

Anatomy of extrohepatic biliary duct hgbbjjkjjknjk Composition of extrohepotic duct: gall bladder, hepotic duct, common hepotic duct, common bile duct, hepotopancrea- tic ampolla Oddi Sphinctor of hepa- topancreatic ampulla

Relationship of horizontal part of duodenum

Oddi Sphinctor of hepatopancreatic ampulla

Relationship of duodenum

Blood vessels of duodenum