$re = '/(\d+),\1/';
$str = 's(469,469"Ahn\'Kahar Blood Hunter\'sBattlegear(Lookalike)",50413,49952,50071,50000},nil)
s(470,470"Ahn\'Kahar Blood Hunter\'s Battlegear (Lookalike)",{51877,51911,51853,51914},nil)
s(471,471"Ahn\'Kahar Blood Hunter\'s Battlegear (Lookalike)",{51002,51566,51325,50789},nil)
';
$subst = "\1";
$result = preg_replace($re, $subst, $str, 1);
echo "The result of the substitution is ".$result;
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php