Tajikistan performs first incision-free pancreatic cyst surgery
Doctors in Dushanbe complete oral endoscopic cystogastrostomy, marking milestone in minimally invasive treatment
DUSHANBE, Tajikistan (MNTV) — Tajik doctors have performed the country’s first incision-free oral endoscopic cystogastrostomy on a patient with a pancreatic cyst, the Ministry of Health and Social Protection of the Republic of Tajikistan said, according to Avesta.
The procedure was carried out at the State Institution “Republican Scientific Center for Cardiovascular Surgery” in Dushanbe on a 22-year-old patient diagnosed with a large pancreatic cyst measuring 17 by 9 centimeters.
The operation was led by Sorbon Sheralievich Musoev, head of the center’s diagnostics and treatment department, together with ultrasound specialist Zumrad Mukhammadieva.
According to Musoev, the cyst was pressing against the posterior wall of the stomach, causing pain, nausea and vomiting, and obstructing the passage of food into the duodenum.
During the procedure, doctors punctured and catheterized the cyst through the back wall of the stomach under endoscopic guidance. They also conducted an endoscopic cystography, injecting a contrast agent into the cyst cavity. A plastic pigtail stent, 11 centimeters long and 10 Fr in diameter, was inserted to drain the cyst’s contents into the stomach.
The cystogastrostomy was performed under ultrasound and X-ray guidance. A follow-up ultrasound 24 hours later showed the cyst had reduced to 4 centimeters, and the patient was discharged the same day.
Previously, such cases in Tajikistan were treated through open surgery requiring abdominal incisions, resulting in greater trauma and longer recovery times.
Endoscopic cystogastrostomy creates a drainage connection between a pancreatic cyst and the stomach without external incisions, significantly reducing recovery time.
Health officials said the successful procedure demonstrates the country’s growing capacity to perform complex, minimally invasive surgical interventions using modern diagnostic and treatment technologies.