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Paper text:
a 41-year - old , male farm worker presented to our hospital with a 3-month history of recurrent right - upper - quadrant pain . computed tomography demonstrated a 7.41-cm cyst in the right lobe of the liver ( figure 1 ) .
after the diagnosis , medical treatment with albendazole 400 mg per day was initiated 4 weeks before surgery .
the cyst was approached laparoscopically by using the same hydatid asepsis techniques as in open surgery .
a veress needle was introduced and hypertonic saline ( 20% naci ) was injected to surround the cyst .
afterwards , we punctured the cyst , and hypertonic saline ( 20% naci ) was injected into it .
the saline solution was allowed to remain for 5 minutes and changed 4 to 5 times .
the germinative layer and hydatid daughters were removed with care and placed in extraction bags ( figure 2 ) .
therapy consists of inactivation of the cyst with scolicide ( hypertonic saline ) , removal of the cyst contents without contaminating the patient , followed by appropriate management of any remaining cavity .
the cyst is approached laparoscopically by using the same hydatid aseptic techniques as in open surgery .
the procedure is contraindicated in patients with secondarily infected cysts , or suspected biliary communication ( bile - stained aspirate ) , owing to the increased risk of complications . in these cases
the laparoscopic technique is safe and simple and has the advantages of other abdominal laparoscopic operations .
it also fulfills the prerequisite of open surgery of hydatid cyst of the liver , namely , the prevention of intraperitoneal spillage of cyst contents .
laparoscopic surgery may be used for treating a variety of benign hepatic lesions in select patients . 
 the anatomic location of the lesions are more important than any other peculiarity when laparoscopic management is used . 
 the aim of this report is to discuss the effects and feasibility of laparoscopic treatment of hydatid cyst of liver . 
 the procedure is feasible and safe , offering all the advantages of laparoscopic surgery .