A novel laparoscopic technique for drainage of hydatid cyst in posterior segment of liver

Introduction: Although several surgeries have proven to be effective for hydatid cyst of liver, but laparoscopic surgery has its own stand. We report here a novel laparoscopic technique for drainage of hydatid cyst in posterior segment of liver in a series of four patients who had two hydatid cysts in same lobe of the liver. Case Series: Four patients who presented with right upper abdominal pain was investigated with ultrasound and computed tomography scan which revealed two hydatid cyst in same right lobe of liver with one of the cyst in posterior segment. On the operating table laparoscopically first cyst was drained with Palanivelu’s hydatid system and irrigated with chlorexidine solution. Through this first cyst second cyst in the posterior segment was punctured, drained and irrigated. Postoperative period was uneventful. Conclusion: This novel technique of approaching second cyst through first cyst is safe, feasible, very effective for cysts in the posterior segments and yield good results and can also approach a third cyst, if it is near to the first cyst. If there are three or more cysts, we can reduce multiple deroofing by approaching the other nearer cysts through already deroofed cyst.