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We experienced rare variation of hepatic artery during the resection of the pancreatic head tumor; RHA-PB originating from PIPDA.
We experienced pancreatic head cancer in a patient with rare variation of hepatic artery; RHA-PB originating from PIPDA.
We experienced pancreatic head cancer in a patient with rare variation of hepatic artery and performed PD successfully with the resection of this artery.
Preoperative CT detected rare variation of hepatic artery; posterior segmental branch of right hepatic artery (RHA-PB) originating from posterior inferior pancreaticoduodenal artery.
We reviewed the English literature, in which 6588 cases were analyzed about anatomic variation of hepatic artery, including the presented case [3, 7 14] (Table 1).
Circadian variation of hepatic CYP3A4 activity in humans has been assumed from the observation of a 2.8-fold mean diurnal variation in the 6β-hydroxycortisol-to-cortisol ratio as a marker of CYP3A4 activity [ 24].
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Anatomical variations of hepatic arteries are of great importance for abdominal surgery and interventional radiology.
Anatomical variations of hepatic arteries may be problematic in pancreaticoduodenectomy (PD).
In 1966, Michels et al. described 10 types of anatomic variations of hepatic artery [2] and many authors commonly used Michels' classification in examining anatomic variations of hepatic artery.
One of the best known anatomic variations of hepatic arteries is a replaced or accessory RHA (aRHA) branching from the superior mesenteric artery (SMA) [3, 4].
D. D. Ita-Pérez et al. show that DRF influences the daily variations of hepatic mRNA levels, stability, and enzymatic activity of GABA transaminase (GABA-T), thus suggesting that the liver GABAergic system responds to the metabolic challenges imposed by DRF and denoting the presence of a food-entrained oscillator.
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