Pericystectomy for Hydatid Liver Cyst

Abstract

Patients with hydatid cysts in the liver used to present a therapeutic challenge. Although surgical techniques have improved, considerable controversy still exists regarding the most effective operative technique. The main principle of the surgery is to eradicate the parasite and prevent intraoperative spillage of cyst contents, to avoid peritoneal spread. Pericystectomy provides a radical treatment, removing the whole cyst “en bloc” (including the adventitia), without resection of healthy liver tissue.