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Home › Body Atlas › Organs › Left Lobe of the Liver
Organ Abdomen

Left Lobe of the Liver

lobus hepatis sinister

The left lobe is the smaller, thinner part of the liver that lies to the left of the falciform ligament and extends across the epigastrium over the stomach. Anatomically it contains segments II and III. Functionally, the left liver also includes segment IV (which contains the quadrate lobe), lying left of the Cantlie line.

Anatomical Data

Structure & Supply

LocationLeft part of the liver, crossing the epigastrium into the left upper quadrant, in front of the stomach
Parts
  • Segments II and III (left lateral section)
  • Segment IV (in the functional left liver)
  • Fissure for ligamentum teres
  • Fissure for ligamentum venosum
Nerve SupplyHepatic plexus from the coeliac plexus (sympathetic); Vagus nerve (parasympathetic)
Blood SupplyLeft hepatic artery
Venous drainage
  • Left branch of the hepatic portal vein (inflow)
  • Left and middle hepatic veins (outflow)
Lymphatic drainage
  • Hepatic nodes
  • Coeliac nodes
Biomechanics

Function & Actions

Shares all liver functions; its blood and bile drainage are independent of the right lobe.

Clinical Relevance

Clinical Notes

The left lateral section (segments II and III) is often used for liver transplantation in children. In some people a replaced or accessory left hepatic artery arises from the left gastric artery and runs in the lesser omentum, so dividing that vessel during gastric surgery can damage the left lobe. The left lobe can be retracted to expose the gastro-oesophageal junction.

Pathology

Common Injuries & Conditions

Ischaemia from Replaced Left Hepatic Artery Ligation

Damage to the left lobe when an aberrant left hepatic artery arising from the left gastric artery is divided during stomach surgery.

Hepatic Hydatid Cyst

Parasitic cyst from Echinococcus that can occur in either lobe; the left lobe is affected less often than the right.

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