Background
Laparoscopic treatment for liver hydatid disease has been criticized by some authors who believe spillage of protoscolices is unavoidable during surgery. Here we aim to and discuss our method of laparoscopic management for liver hydatid disease.

Materials and Methods
Patient charts and operation videos recorded during laparoscopic liver surgery were reviewed. Surgical steps we adopt during surgery were determined and some labeled as parts of our routine stepwise procedure. An illustration-enhanced video prototype was rendered.

Result
With the patient placed in the modified lithotomy semi-Fowler position, the procedure begins after inserting four ports in the right upper quadrant. Wet gauzes soaked in a 20% of saline solution are used to cover perihepatic area against any accidental spillage. With two suction tips positioned over the pericyst, the cyst is entered with laparoscopic dissector. After unroofing of the pericyst, all cyst content including germinative membrane and free vesicles are taken out into an endobag. Its our policy to fill in the cyst cavity with hypertonic saline solution, allowing for all potential viable cystic content to interact with the scolicidal agent. Next, an extended pericystectomy is performed and the retained cyst wall is checked for any biliary leak. The operation ends after drain placement.

Conclusion
Our results suggest that laparoscopic treatment of liver hydatid disease is safe and feasible. Preoperative planning, adequate instrumentation, meticulous surgical technique and implementation of preventive measures are key to performing this procedure safely.