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A replaced common hepatic artery (RCHA) originating from the superior mesenteric artery is a rare anomaly, and cancer of the head of the pancreas can easily invade the RCHA. Interruption of the hepatic arterial flow at the time of pancreaticoduodenectomy (PD) is associated with an increased risk of hepatic and biliary ischemia, which may consequently result in complications such as stenosis of the...
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