Radical Laparoscopic Pericystectomy of a Giant Hepatic Hydatid Cyst

Abstract

Hydatidosis is an endemic zoonotic disease with an uneven geographical distribution due to the varying abundance of its intermediate hosts, primarily cattle, and sheep in different regions, leading to a higher concentration of cases in livestock areas. Despite advancements in medical treatment and interventional radiology, surgery remains the treatment of choice for patients with hepatic hydatid cysts (HHC). Over the past decade, laparoscopic management of HHC has gained popularity; however, controversies persist regarding optimal patient selection, surgical techniques, and follow-up protocols. Conservative techniques, including capitonnage, partial cystectomy, puncture, and aspiration, have been described, while radical approaches such as pericystectomy and liver resection demonstrate superior management of the residual cavity and reduced recurrence rates. We present the case of a 52-year-old male presenting with right hypochondriac abdominal pain, whose CT scan revealed a giant, uncomplicated hepatic hydatid cyst in the right lobe. The video demonstrates a radical approach using subtotal pericystectomy for a giant hepatic hydatid cyst (>10 cm) located in the right hepatic lobe. The patient had an uneventful recovery and was discharged without complications on the third postoperative day.