| Figure 2: Diagram showing the physiology of the liver | Copyright © 2003 Nucleus Medical
Art, All rights reserved. www.nucleusinc.com |

The right lobe is about six times the size of the left, these lobes are wedge-shaped,
smooth textured and feel rubbery. They contain hundreds of cells that resemble
fine spokes, which multiply from the central vein, in a network of blood channels
called sinusoids
Structural components of the liver include:
Hepatocytes: These are parenchyma cells that form plates they
are the main functional cells of the liver.
Sinusoids: These are the wide vascular channels that separate
the plates of hepatocytes. The majority of cells lining the sinusoids are endothelial
cells however, scattered among these cells are specific macrophage type cells
termed Kupffer cells these are part of the liver's defence system.
Bile ducts: These carry bile from the hepatocytes eventually
into the duodenum. Bile is produced in hepatocytes and is secreted into a network
of minute bile canaliculi (no discrete structure of their own) positioned between
plasma membranes of adjacent hepatocytes. This network drains into small bile
ducts, then into medium sized and large ducts and eventually into the common
bile duct, which empties into the duodenum.
Portal tracts: These are islands of connective tissue containing
branches of the portal vein and hepatic artery, running side by side, that bring
blood to the sinusoids. They also contain bile ducts, which carry bile in the
opposite direction to the blood flow
Figure 3: Architecture of the Liver Cells.
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As the blood flows from the portal vein and hepatic artery it passes
through the sinusoids where it is in intimate contact with the hepatocytes
so it can exchange nutrients and metabolic products. The blood then flows
into branches of the hepatic vein and finally into the inferior vena cava.
The structural unit of the liver has traditionally been considered to
be the hepatic lobule. It is now thought that the blood flow and function
of the liver are more accurately defined by the unit structure known as
the hepatic acinus. In the hepatic lobule concept, the lobule is roughly
hexagonal in shape and is centered on a terminal hepatic venule. The portal
tracts are positioned at the angles of the hexagon, blood from the portal
vein and hepatic artery in the portal tract flow to the central vein |
Figures 4/5: Illustration showing the architecture and blood supply of the liver.
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The liver holds about 13 percent of the body's blood supply, which is supplied,
by two distinct sources. A unique feature of the liver is that it has both arterial
and venous blood supplies. Absorbed food products pass directly from the gut
to the liver via the Hepatic portal vein. Oxygen required for liver metabolism
is supplied through the Hepatic artery. Venous drainage occurs by way of the
Hepatic vein.
Systemic circulation
Oxygenated blood flows in from the Hepatic Artery to the liver, which needs
about a quarter of the hearts total output - 1.75 pints a minute. This subdivides
into many branches within the liver to provide oxygen to all its cells. The
hepatic artery normally comes off the celiac trunk.
Portal circulation
Nutrient-rich blood flows in from the Hepatic Portal vein, which also feeds
the liver with blood, it carries nutrients from digested food such as fats and
glucose from the intestines and spleen, which is stored, depending on the body's
needs. The portal vein brings venous blood from the digestive tract, so that
the liver can process the nutrients and toxins extracted from food. The hepatic
veins drain directly into the inferior cava,