Large echinococcal cyst of the liver with right hepatic lobectomy

In the case herein reported, the size of the cyst and its location dictated a hepatectomy rather than a drainage procedure or an omentopexy. Moreover, it was felt that hepatic resection with suture ligation of bile ducts was essential in order to cure the biliary fistula that had developed from the cyst. In conclusion it is advised that hepatectomy be reserved for large cysts, and of course, it should be performed only by those who are thoroughly familiar with the technique of anatomical hepatectomy. Naturally, a left lobe hepatic resection is less hazardous than a right hepatectomy.