Hydatid cyst of the liver occurs due to parasitic infestation. The surgeon cuts the pericyst to squeeze out the hydatid cyst and usually holds the cyst using a sponge holder and removes it very carefully. The residual cavity can be closed with sutures, filled with saline or partially excised. The laparoscopic approach involves small incisions made on the skin, insertion of a thin tube (laparoscope) with attached camera and tools to access the cysts. The conventional open approach, a larger incision is made.