Laparoscopic management of a Gharbi type II hepatic hydatid cyst after failed pair

Hepatic hydatidosis, caused by Echinococcus granulosus, remains prevalent in endemic regions. Surgery is the cornerstone of treatment, although laparoscopic approaches have gained prominence in selected cases in the past decade. We present a case of a Gharbi-type II hepatic hydatid cyst successfully treated via laparoscopy. A 19-year-old man from a rural endemic area, presented with right upper quadrant pain. Imaging revealed a Gharbi type 2 hydatid cyst in the posterior segment VII of the liver. Laparoscopic evacuation of the cyst content was performed with strict preventive measures to avoid dissemination. The patient had a favorable outcome without complications. Laparoscopy offers a safe alternative for peripheral cysts without biliary communication and in experienced centers. Proper patient selection and technical proficiency are essential to minimize risks. This report highlights the feasibility of laparoscopic management of Gharbi type II cysts in carefully selected patients and illustrates the role of laparoscopy as a salvage strategy following failed PAIR.