Liver suspensory ligament (L. Suspensorium Hepatis)

Ligament that suspends the liver (L. suspensoriihepatis).

Ligament, pendulous liver, L. suspensoi hepatis - a ligament is a tendon cord that extends along with the vagus nerve from the peduncle of the diaphragm or the broad ligament of the liver and is attached to the leaf of the longitudinal hepatic ligament. Some surgeons give this tendon the name “meniscus” (“cube”) of the liver. It is usually thick, stretches from the mouth to the right corner of the diaphragm and protrudes slightly below the location of the lower edge of the liver. In front it is attached to the anterior border plate of the midline of the body by a knot, in the back - by connective tissue, in front and behind it is attached to the longitudinal ribbon of the peritoneum. L.A. Dyakonova suggests considering this node a small additional semilunar process of the liver. The hepatic ligament suspends the liver during breathing, so that it does not move anteriorly. There is another point of view that the ligament is located transversely from the apex to the bottom, considering it to be its border, in the middle of a vertical section measuring 2 cm, longitudinally and with its ends attached - with its upper ends to the anterior and posterior borders of the liver intercession, with its anterior lower ones - to the lateral and medial borders of the transverse process of the VI cervical vertebra, and the posterior lower edge - to the gate of the liver, while the lower end of the ligament is its most medial section. However, this does not exactly correspond to the anatomy and therefore I do not recommend that you use this point of view. This ligament is located in the midline, between the navel and the end of the xiphoid process, i.e. in the midline, under the xiphoid process.