Hydatid disease is common in Libya. Here we operated 400 cases of hepatic hydatid cysts from 1991 to 2013. We performed various surgical techniques from simple drainage to segmental resection depending upon extent of disease. Recurrence was more with drainage only which is very well known.

Keywords: Ecchinococcus granulosus; hydatidosis; endemic area; captonrage; CBD; t tube & intuition.