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DOI: 10.48087/BJMS.2026.130211
Authors: Zakaria SEOUDI1, Razika IBAGHERACHE1, Mohamed STOUTAH1, Radhia BOUDJEMA2, Louiza IAICHE ACHOUR1, Farouk BAKHTI1, Abdelkrim ANOU1
Affiliations: 1- Department of General, Oncologic & Emergency Surgery. Douera University Hospital. Faculty of Medicine. Blida1 University. Algeria. 2- Department of Anesthesiology, Resuscitation & Intensive Medicine. Douera University Hospital. Blida1 University. Algeria.
Keywords: hepatic echinococcosis, radical resection, laparoscopic surgery.
Abstract
Liver involvement is the most common manifestation of cystic echinococcosis and generally necessitates surgical treatment. Although there is no clear consensus on whether radical or conservative surgery should be performed, selecting the most appropriate treatment to achieve the lowest morbidity, mortality, and recurrence rates is essential. With the dramatic development of minimally invasive techniques, there has been a gradual shift toward laparoscopic surgery, particularly favoring radical procedures, which have become an emerging approach in the management of hepatic cystic echinococcosis. We present the case of a 39-year-old man referred to our institution following diagnosis of isolated cystic echinococcosis of the left hepatic lobe, identified on medical imaging with positive hydatid serology. The patient received preoperative albendazole therapy, followed by successful radical laparoscopic surgical resection. Postoperative recovery was rapid and uneventful, allowing discharge on the fifth postoperative day. At 4-month follow-up, the patient demonstrated excellent clinical progress with complete resolution of symptoms.