The Republican Scientific Center for Cardiovascular Surgery of the Ministry of Health and Social Protection of the Republic of Tajikistan performed the first incision-free surgery for a pancreatic head tumor using an endoscopic approach through the mouth. This was reported by the press service of the Ministry of Health of Tajikistan.
The patient was admitted to the center complaining of yellowing of the mucous membranes and sclera, reddish urine, nausea, vomiting, and general weakness. An examination revealed pancreatic head cancer with spread to the duodenum and stomach, complicated by obstructive jaundice and pyloric stenosis.



According to Sorbon Musoev, MD, Head of the Center's Diagnostics and Treatment Department and MD, who performed the surgery, the patient received two self-expanding nitinol metal stents. The first stent, 8 cm long and 1 cm in diameter, was placed in the bile ducts using retrograde endoscopic cholangiopancreatography (ERCP) and endoscopic papillosphincterotomy. The second stent, 12 cm long and 22 mm in diameter, was placed in the gastroduodenal junction due to severe stenosis.
Following the surgery, the patient's condition has stabilized; he is active within the ward and will be discharged home soon.
The Tajik Ministry of Health notes that this success confirms the creation of favorable conditions and opportunities in the country for performing complex surgical interventions using modern technologies and minimally invasive techniques.






































