We report the laparoscopic use of a novel perforator-grinderaspirator apparatus, specifically
designed for the evacuation of hydatid cysts. Eleven hepatic hydatid cysts in six patients
were treated by laparoscopic technique using this tool, which penetrates the cyst mainly by
opening a hole in the cyst wall, grinds the particulate, and sucks it all out; classic surgical
aspirators are almost always blocked by daughter cysts and laminated membranes. If the
cyst is small, management of the cavity is achieved by simple drainage; otherwise, vacuum …

The case of a hydatid cyst treated by laparoscopic surgery consisting of partial
cystopericystectomy, intraoperative cholangiography and cholecystectomy is reported from
Spain. The patient was a 65-year-old woman who had presented with a 1-year history of
pain in the right hypochondrium. The diagnosis was confirmed by ultrasonography and
serological testing.