Shadowing Practice: Liver Anatomy (Function, Topography, External Structures, Ligaments) - Learn English Speaking with Video

Creating lesson...
1
What's up. Meditay here, and in this video,  we're gonna go through the anatomy of the Liver.
2
So now that we've gone through all the digestive  system structures, along with the three accessory organs up here in the mouth, we'll do the next  structure, which is the Liver, since it has an essential role in digestion. Our aim in this  video is to understand the complete anatomy and the orientation of the Liver. And to do that, We're first going to cover the Function and the Topography of the Liver. And then we're going  to look at the external structures of the Liver by going through the lobes, margins, and  grooves we have on the surface of the Liver, and then we're going to talk about porta  Hepatis, along with how the Liver is fixated.
3
Basically, going through the covering and  the ligaments you'll find around the Liver.
4
So the Liver, or The Hepar in Latin, is  the largest internal organ in the body.
5
It lies on the right side of the belly and weighs  approximately 1.5 kilograms, so it's pretty heavy.
6
The Liver's main job is to filter the blood coming  from the digestive tract before passing it to the rest of the body. And it does that through the  portal system. And even if you're not familiar with the portal system yet, it is quite important  to understand this concept to fully understand the anatomy of the Liver. And it's quite simple,  the portal system is just veins that drain the nutrients of food from the digestive tract  and waste products from the spleen. And when all of those veins meet, they become the portal  vein, which will go through the Liver. The Liver then filters the blood from harmful substances,  then sends the blood further into the systemic circulation through the inferior vena cava. Now,  this is a very simplified scheme of the portal system, but I hope you get what I tried to tell  you earlier, that it filters the blood coming from the digestive tract. The Liver also detoxifies  the body by transforming potentially harmful substances such as drugs and alcohol into harmless  products to be eliminated in The Bile or Urine.
7
It also produces cholesterol, which is used for  the production of certain hormones, and vitamin D.
8
Many nutrients are stored in the Liver as  well, including certain fats and glycogen, and this glycogen can be used in  case of low blood sugar for example.
9
So it has many functions. So that is the function, now; as always, looking at the anatomy of  organs, I always like to start with the topography to have the orientation in our heads. So if we add the lines and look at the holotopy, meaning the Liver position in relation to the  body as a whole. The Liver actually covers the whole upper level of the abdominal cavity  within the ribs. You will find it in the right hypochondriac region, the epigastric region,  and extend to the left hypochondriac region.
10
From a clinical perspective, we visualize the  borders of the Liver by using the skeletopy of the Liver. Meaning its position in relation to our  bones. As you see right here, the superior border starts at the level of the 10th rib and then  extends up to the level of the 4th intercostal Space at the region of approximately the Right  midclavicular line. And then goes to the 5th intercostal Space left to the sternum. And  then it ends at the 6th intercostal Space, so that's the superior border. Then the inferior  border is here, and it also starts at the 10th rib at the right side and goes up to the level  of the 8th -9th rib, and then continues all the way up to the 6th intercostal Space on the  left side, where it ends. And then posteriorly, you'll find it between the 9th thoracic  vertebra to the 11th thoracic vertebrae So that is the Skeletopy of the Liver.  Now let's do the Syntopy of the Liver, meaning its position in relation to other organs.
11
Let's look at the superior border first. This  is the surface we call the diaphragmatic surface because you'll find the perfectly drawn  diaphragm resting on it, as you see here.
12
And then the inferior border we call this one the  visceral surface, meaning the surface that faces different organs. Let's now zoom. You'll find  the pylorus of the stomach is very close to the visceral surface of the Liver. But you'll  also find the upper part of the duodenum, you find the Colon, you find the right kidney,  and you also find the Oesophagus and stomach, the upper part of the stomach lying very close  to the superior end of the Liver as well.
13
So that was it for the topography. Let's now  continue with the external structures of the Liver. And we're going to start by looking at the  Liver from an anterior view. The first thing that catches your eyes is a distinct ligament in the  middle called the Falciform Ligament, and this ligament separates the right and left lobe. Now the Liver has two margins, right? You have the inferior margin projecting downwards.  And this margin Is very sharp in shape. And now let's change the angle, and look at the Liver  posteriorly. You'll find this rounded posterior margin, which is not as sharp as the inferior one.  But an interesting this about the posterior margin is that the whole Liver is covered by  ligaments and fat, which we call Peritoneum, except for this area right here on the  posterior margin. We call this the Bare Area, or area nuda. It's bare because it's the  only place that is not covered by fat tissue.
14
It's in direct contact with the diaphragm cuz,  remember, the diaphragm lies on top of the Liver.
15
So now that we're looking at the Liver  posteriorly let's go ahead and look at its distinct Futures back here. We have three  important grooves on the posterior surface.
16
The first one is the right sagittal Groove. And  the right sagittal Groove is formed by two other grooves you'll find on the visceral surface of the  Liver. And here I want you to imagine the inferior vena cava running in this direction, forming  the Groove for the Inferior Vena Cava, right?
17
So the Right sagittal Groove goes like that. It  is formed by the fossa for gallbladder, down here.
18
and it's also formed by the fossa for the inferior  vena cava, so that's the right saggital groove it separates the right lobe from all the other lobes  you'll find on the posterior view of the Liver And then, we have the left sagittal  Groove, and to understand this Groove, we need to know the ligaments. So down here,  we have a ligament called the round ligament of the Liver, or ligamentum teres hepatis  in Latin. And above that, there's a ligament called the Venous Ligament of the Liver, or  ligamentum venosum. And these two ligaments form the left sagittal Groove, which separates  the left lobe from the rest of the lobes.
19
And then finally, we can see one more  Groove called The transverse Groove, also known as the porta hepatis. Now the porta  hepatis is a short depression through which all the neurovascular structures and hepatic ducts  enter or leave the Liver. We'll talk more about the porta hepatis in a minute, but let's finish  looking at the landmarks on the Liver first.
20
So the transverse Groove goes like this and  separates the caudate lobe from the quadrate lobe.
21
Now, we have 4 lobes on the posterior side  and 2 lobes on the anterior side, right?
22
This is what we call an anatomical Classification  or division of the Liver. Dividing it into lobes.
23
Don't confuse this with something called the  Couinaud's system, which divides the Liver into eight functionally independent segments where Each segment has its own vascular inflow, outflow, and biliary drainage. Knowing this makes it easier  to surgically operate segments of the Liver away.
24
So keep in mind that we have a classification  system based on the landmarks we have on the Liver and a classification system that divides the  Liver into functionally independent segments.
25
So that's the division of the Liver. Now let's  talk a little bit more about porta hepatis, which I've highlighted in green right here. As we  said earlier, the Porta Hepatis, or the transverse Groove, is a short deep depression. And there are  a few things that go in and out of this place.
26
The most noticeable structure is the common  hepatic duct, but you'll also find the hepatic portal vein and the hepatic artery proper going  into the Liver through the transverse Groove.
27
You'll also find some hepatic lymph nodes  and some nerves called the hepatic plexus going through the transverse Groove. And they're  all covered by the hepatoduodenal ligament.
28
And this is a ligament that starts off at the  Liver and goes down to the duodenum. Therefore it's called The hepatoduodenal ligament. Because  it attached the Liver to the duodenum. Now let's go over and look at the coverings of the  Liver. So the Liver is protected, right?
29
It's protected by something called Tunica fibrosa,  which is a fibrous sheath, and then on top of it, it's covered by something called the Peritoneum.  I'll talk more about the Peritoneum in another video, but for now, Imagine this is a  sagittal plane of the abdominal cavity, right? Now for orientation sake, this is the  Liver, the stomach, the transverse Colon, the small intestine, and down here is  the sigmoid Colon. Now, this is a woman's abdominal cavity, so the uterus is here. Now, we have something called the Peritoneum, and essentially what that Is is a fat layer  that is distributed around the abdominal cavity.
30
And we divide it into two parts. You have the  parietal Peritoneum in Green which covers the surrounding walls of the abdominal cavity.  And then you have the visceral Peritoneum, which covers the organs inside  the abdominal cavity here in blue.
31
So not only is the Liver covered by Tunica  fibrosa, the fibrous layer but it's also covered by the visceral Peritoneum, also called  the Tunica serosa. Because the Peritoneum forms a serous membrane, which reduces the friction to  surrounding structures, that's why it's good to have this visceral Peritoneum covering the Liver. But the whole Liver is not covered. There is actually a place called the bare area. Remember  I mentioned this earlier? The bare area, which is in direct contact with the diaphragm. So that's the coverings of the Liver. So to understand the anatomy of the Liver fully, you now  only need to know the ligament that connects the Liver to the diaphragm up there and the ligament  that connects the Liver to the other organs.
32
SO let's look at the ligaments around the Liver  in a little more detail. So the ligaments from the Liver to the diaphragm are three or four because  the last one has a Right and a Left ligament.
33
Then there're Four ligaments connecting  the Liver to other organs so let's look at the ligaments towards the diaphragm first.  The first ligament is this one highlighted in green, called the Falciform Ligament,  connecting the Liver to the anterior wall.
34
And then, if we remove the diaphragm, we'll  see two distinct ligaments on either side connected to the falciform ligament in  the middle, called the Coronary Ligament.
35
This ligament connects to the Liver  to the diaphragm. And then again, don't forget that we have the Bare  Area, or area nuda here in the middle.
36
You'll see the coronary ligament surrounding  it. So if we look at the Liver posteriorly, we'll be able to properly see the coronary  ligament surrounding the area nuda. Alright, so now we have two more ligaments we can see  on this model. And these are the Triangular Ligaments. We have the Left triangular ligament,  and we have a Right triangular ligament.
37
They kind of resemble a triangle, as you see here. Alright, so that was all the ligaments towards the diaphragm. Now let's go over and look  at the ligaments that go from the Liver towards other organs. These are four  ligaments, and they all start from porta hepatis. I want you to keep that in mind  that all the ligament starts at porta hepatis.
38
So the first one is the Hepatogastric Ligament,  and as the name says, it goes from the Liver to the stomach, or in Latin, it goes from  the hepar to the gaster. That's why it gets the name lig. Hepatogastricum. And then  the next one is the Hepatoduodenal Ligament, going from the Porta hepatis of the  Liver to the duodenum. And remember, as we saw earlier, This ligament contains the  bile duct veins, nerves, arteries, and things going in and out from the porta hepatis. So that was the Hepatoduodenal Ligament.
39
Next, we have the hepatorenal ligament. Renal  means kidney, so this one goes from the Liver to the right kidney. And the right kidney  is behind here, so it goes like this.
40
Some sources might not mention this ligament,  as they consider it a part of the coronary ligament I mentioned earlier, and some sources  might do. Keep that in mind. And then lastly, we have the round ligament of the Liver. Or Lig.  Teres Hepatis. This one projects anteriorly and extends from porta hepatis towards the umbilical  ring or the navel. Because It is the remnant of the left umbilical vein during fetal life. So that was all I had for the anatomy of the Liver. I really hope this video made sense.  If it did, please put a like, share, comment.
41
Whatever you find convenient  to you. See you next time

Vocabulary and speaking notes for this lesson

This C1 speaking lesson is built on the video “Liver Anatomy”. The speaker keeps coming back to these words: Liver, ligament, groove, hepatis, lobe. This video has 41 sentences and 2293 words to shadow. The speech runs for 13:01. The speaker talks at a natural 176 words per minute, close to everyday conversation. Only 74% of the words are among the 3,000 most common in English, so the vocabulary is demanding.

Key vocabulary in this video

The 15 most advanced words in the video, with pronunciation and meaning:

WordPronunciationMeaning
ligament noun/ˈlɪɡəmənt/A band of strong tissue that connects bones to other bones.
groove noun/ɡɹuv/A long, narrow channel or depression; e.g., such a slot cut into a hard material to provide a location for an engineering component, a tire groove, or a…
lobe noun/ləʊb/Any projection or division, especially one of a somewhat rounded form.
porta nounThe part of the liver or other organ where its vessels and nerves enter; the hilum.
diaphragm noun/ˈdaɪəˌfɹæm/In mammals, a sheet of muscle separating the thorax from the abdomen, contracted and relaxed in respiration to draw air into and expel air from the lungs.
inferior adjective/ɪnˈfɪɹ.i.ɚ/Lower in rank, status, or quality.
sagittal adjective/ˈsæd͡ʒ.ə.təl/Relating to or denoting the suture on top of the skull which runs between the parietal bones in a front to back direction.
hepatic adjective/həˈpætɪk/Of or relating to the liver.
posterior adjective/poʊˈstɪɹ.i.ɚ/Relating to or denoting presentation of a fetus in which the rear or caudal end is nearest the cervix and emerges first at birth.
transverse adjectiveSituated or lying across; side to side, relative to some defined "forward" direction; perpendicular or slanted relative to the "forward" direction; identified…
visceral adjective/ˈvɪsəɹəl/Of or relating to, made up of, or positioned among or within, the viscera (“internal organs of the body, especially those contained within the abdominal and…
abdominal adjective/æbˈdɑm.ə.nl̩/Of or pertaining to the abdomen; ventral.
cavity noun/ˈkæv.ɪt.i/A hollow area within the body.
vein noun/veɪn/A blood vessel that transports blood from the capillaries back to the heart.
anatomy noun/əˈnætəmi/The science that deals with the form and structure of organic bodies; anatomical structure or organization.

Phrasal verbs you will hear

WordPronunciationMeaning
go through verbTo travel from one end of something to the other.
go over verbTo look at carefully; to scrutinize; to analyze.
go ahead verb/ˌɡoʊ əˈhɛd/To proceed with; to begin.

Sentences worth repeating

Short, complete lines from the video that you can reuse in everyday conversation:

  • Let's look at the superior border first.
  • Remember  I mentioned this earlier?
  • You'll see the coronary ligament surrounding  it.

Grammar in this video

The structures the speaker uses most, with the exact words from the video:

StructureIn the video
Conditional sentences if + clause, will/would + verb — a condition and its resultif we remove the diaphragm, we'll see
Passive voice be + past participle — the focus is on what happens, not who does itis fixated · be eliminated · are stored
Relative clauses who / which + clause — extra information about a person or thingstructure, which is · vein, which will · cholesterol, which is
Present perfect have/has + past participle — a past action that still matters nowwe've gone · I've highlighted

Pronunciation to watch

The speaker uses 30 contractions and reduced forms, such as you'll, we're, we'll. Say them the short way, as you hear them.

  • The “th” sounds: thoracic /θəˈɹæsɪk/, sheath /ʃiθ/
  • The “sh” and “zh” sounds: orientation /ˌɔː.ɹi.ənˈteɪ.ʃən/, sheath /ʃiθ/, visualize /ˈvɪʒuəˌlaɪz/, friction /ˈfɹɪkʃən/, circulation /ˌsɝkjʊˈleɪʃən/
  • Long words — get the stress right: inferior /ɪnˈfɪɹ.i.ɚ/, posterior /poʊˈstɪɹ.i.ɚ/, anatomy /əˈnætəmi/, coronary /ˈkɔɹənɛɹi/, intercostal /ˌɪn.tɚˈkɔ.stəl/

How to practise with this video

  1. Listen to the whole video once without speaking and note the words you do not know.
  2. Start at 0.75× speed, shadow it sentence by sentence, then go back to normal speed once it feels easy.
  3. Record yourself and compare with the original, paying attention to words like ligament, groove, lobe.

What is the Shadowing Technique?

Shadowing is a science-backed language learning technique originally developed for professional interpreter training and popularized by polyglot Dr. Alexander Arguelles. The method is simple but powerful: you listen to native English audio and immediately repeat it out loud — like a shadow following the speaker with just a 1–2 second delay. Unlike passive listening or grammar drills, shadowing forces your brain and mouth muscles to simultaneously process and reproduce real speech patterns. Research shows it significantly improves pronunciation accuracy, intonation, rhythm, connected speech, listening comprehension, and speaking fluency — making it one of the most effective methods for IELTS Speaking preparation and real-world English communication.

Shadowing technique: read the full step-by-step guide →