 This study investigated two different approaches to treating liver echinococcus, puncturing and draining the cystic cavity under ultrasound control, or opening and processing the cystic cavity using laparoscopic techniques. The results showed that minimally invasive techniques such as laparoscopy resulted in less trauma and fewer complications than traditional open surgery. Additionally, these techniques allowed for faster recovery times and reduced the need for further surgeries. This article was authored by Zasizota, K.M. Kurbanov and V.S. Rizov.