To analyze the advantages and technical points of 3D laparoscopic hepatectomy in the treatment of hepatic alveolar echinococcosis, in order to ensure the safety and efficiency of the operation and promote the application of the operation in the clinical hepatic alveolar echinococcosis.

The clinical data of 8 patients with hepatic alveolar echinococcosis who underwent 3D laparoscopic hepatectomy from Jan. 2017 to Jun. 2018 in the Department of Hepatobiliary Echinococcosis, the First Affiliated Hospital of Xinjiang Medical University were collected and analyzed retrospectively, and the operation time, intraoperative bleeding volume, placement time of abdominal drainage tube, postoperative hospitalization time and complications were observed.

8 patients were successfully performed 3D laparoscopic hepatectomy, including 4 cases of laparoscopic right hepatectomy, 1 case of left hepatectomy, 3 cases of segmental hepatectomy. The operation time was (327±86) min, intraoperative bleeding volume (421±654) ml, placement time of abdominal drainage tube (4.6±1.5) d, postoperative hospital stay (6.9±2.7) d, more intraoperative bleeding volume of 1 patient was infused with suspension red blood cells, 1 patien developed pleural effusion. All patients were discharged after operation.

the application of 3D laparoscopic hepatectomy in hepatic alveolar echinococcosis is safe, feasible, accurate and minimally invasive, which is worth clinical promotion and application. The key to ensure the successful implementation of the operation is to effectively control bleeding and avoid side injury.