Giant hepatic hydatid cyst with sub-fascial extension treated by open minimally invasive surgery: a case report

INTRODUCTION Hepatic hydatid disease can be successfully treated by a variety of modalities. CASE PRESENTATION We report a case of a 60 year old male with giant hepatic hydatid disease who presented with a huge cystic mass in the upper abdomen. Diagnosis was confirmed by serology, ultrasonography and CT scan. The patient was treated successfully by open minimally invasive surgery with minimum breaching of the peritoneal cavity using a laparoscopic trocar to evacuate the cyst. CONCLUSION The use of a laparoscopic trocar through a small abdominal incision in selected patients with hepatic hydatid disease with subfascial extension can be a safe, minimally-invasive option of treatment.