title: Giant hepatic hydatid cyst with sub-fascial extension treated by open minimally invasive surgery: a case report.
abstract: BACKGROUND
  Hepatic hydatid disease can be successfully treated by a variety of modalities.
  
  
  METHODS
  We report a case of a 60 year old male with giant hepatic hydatid disease who presented with a huge cystic mass in the upper abdomen. Diagnosis was confirmed by serology, ultrasonography and CT scan. The patient was treated successfully by open minimally invasive surgery with minimum breaching of the peritoneal cavity using a laparoscopic trocar to evacuate the cyst.
  
  
  CONCLUSIONS
  The use of a laparoscopic trocar through a small abdominal incision in selected patients with hepatic hydatid disease with subfascial extension can be a safe, minimally-invasive option of treatment.
authors.affiliation: Department of Surgery, Government Medical College & Sir Sayajirao General Hospital, Baroda, Gujarat, India . drduttaroy@gmail.com
authors.forename: Dipesh D
authors.initials: DD
authors.lastname: Duttaroy
authors.forename: Samir
authors.initials: S
authors.lastname: Kacheriwala
authors.forename: Bithika
authors.initials: B
authors.lastname: Duttaroy
authors.forename: Jitendra
authors.initials: J
authors.lastname: Jagtap
authors.forename: Gunjan
authors.initials: G
authors.lastname: Patel
authors.forename: Nikhil
authors.initials: N
authors.lastname: Modi