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Updated: Jul 7, 2026

Robot Assisted Distal Pancreatectomy with Celiac Axis Resection (DP-CAR) for Pancreatic Cancer: Surgical Planning and Technique
Published on: August 14, 2021
Gastroduodenal artery used for arterial reconstruction during the Whipple operation
Craig P Fischer1, Wade Rosenberg, Fahy Bridget
1Department of Surgery, The Methodist Hospital, Weill Medical College of Cornell University, Houston, Texas 77030, USA. cpfischer@tmh.tmc.edu
Abstract:
The right hepatic artery and the common hepatic artery originate from the superior mesenteric artery in approximately 10-15% of the population. Reconstruction of the hepatic artery using the gastroduodenal artery has previously been described to repair hepatic artery injury during the performance of biliary and pancreatic resections. We report the utilization of this technique in patients undergoing pancreaticoduodenectomy for a periampullary neoplasm involving a replaced right hepatic artery.
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