Objective To summarize the clinical experience of laparoscopic treatment of hepatic hydatid cysts. Methods The clinical data of 120 patients with hepatic hydatid cysts who received laparoscopic endocyst extraction were retrospectively analyzed .Results The procedure was successful in all cases with no intraoperative leakage of fluid from the hepatic hydatid cysts or occurrence of anaphylactic shock. Postoperatively, there were 4 cases of recurrence , 8 cases of biliary fistula, 8 cases of residual cavity hydrops, and 1 case of postoperative bleeding.All of the cases were cured.The mortality in our study was zero.Conclusions Laparoscopic extraction of endocyst of hepatic hydatid cysts is a safe and effective procedure.