Surgery is still the main modality in the treatment of hepatic hydatid
disease. Laparoscopic methods, with their low morbidity, have gained
prominence in many fields and, in some cases, have nearly replaced ope
n surgery. In this report, a laparoscopic method for the treatment of
hepatic hydatid disease is described and the results in the first six
cases are presented. The method involves the use of an aspirator-grind
er apparatus designed specifically for laparoscopic surgery. The posto
perative courses of the patients were very comfortable and no complica
tion related to the laparoscopic technique occurred. The method achiev
es evacuation of all viable cyst contents with the patient benefits of
laparoscopic surgery. The apparatus practically eliminates the risk o
f spillage. The postoperative parameters and the early follow-up resul
ts (21-27 months) are very encouraging.