Echinococcal disease is still a serious health problem in certain parts of the world.

In the human being the liver is the most frequent organ affected. The natural history of liver hydatidosis in humans till now is poorly understood and Different morphological appearances was observed.²

Over recent decades, various reports have been published comparing standard surgical and more conservative modalities for the treatment of the disease. Although Hand-assisted laparoscopic surgery (HALS) has been proposed as a useful alternative to conventional open orlaparoscopic surgery and seems to be a promising technique in laparoscopic treatment of hydatid cyst which has been applied with success as well as with a wide range of digestive tract–related surgical procedures.3 Gasless laparoscopy also had been introduced in the treatment of liver hydrated and has the advantage of permitting the use of conventional instruments during minimally invasive procedures with a promising results. With many advantages regarding technique.⁴

Many review articles was written all over the worlds regarding precautions, accessibility, operative risks, remote satisfaction in operative results and duration of free disease following prolonged regular follow-up.

The aims of this study was to compare the effectiveness and safety of laparoscopic intervention and conventional open surgery that practiced decades of years ago and regarded as standard modality treatment of hepatic Echinococcus granulosus disease. The following parameters were evaluated for both laparoscopic and open procedures modalities.

Methods of patients selection, operative technique, operating time, intraoperative and postoperative complications, postoperative pain and amount of pain killers. Time until resumption of diet, postoperative morbidity, hospital stay, cost effectiveness, and quality of life analyses.

A literature search was performed using Medline and the search engine Google, Springer link and Highwire press. The following search terms used: laparoscopic management of liver hydatid cysts Echinococcus granulosus. There were over thousand of literatures and papers published discussing this subject. Most recent (2000- 2008) and universally widely accepted and recognized was selected. The selected papers were screened for further references. criteria for selection of literatures were the number of cases (more than 50 cases). Methods of analyses whether statistical or nonoperative procedures only universally accepted chosen and the institution where the study was done in specialized institutions for laparoscopic surgery.

During this study we observed that patient response to surgical trauma, hospital hostility, rapid turn over of hospital beds, cost effectiveness, less morbidity, no mortality, early resuming normal usual activity, minimal postoperative complication, reduced operative time, early recovery from general anesthesia, decreasing risk of surgery, access to certain locations difficult to be approached in open surgery all these parameters are better in minimally access surgery than in open conventional surgery.