Abstract Introduction Pancreaticoduodenectomy in patients with CA stenosis due to median arcuate ligament often required carefully collateral pathways management to avoid hepatic ischemic complications. Cases presentation Case 1: A 63-year-old man was referred to our department because of jaundice with distal common bile duct tumor. Pancreaticoduodenectomy with left posterior SMA firs... https://www.ealisboa.com/best-flash-Nightstick-TWM-850XL-Tactical-Weapon-Mounted-Light-limited-super/