Fig. 3

Surgical procedures. a The cyst content with chocolate color was trans-hepatically aspirated from a 7-cm upper midline incision. b The adhesiotomy between the cyst wall and right diaphragm was laparoscopically performed without rupturing the cyst wall. c Preparation for a hanging maneuver was performed. d Parenchymal division was performed under direct vision through the small laparotomy wound using a hanging maneuver (arrow) and the Pringle’s maneuver (arrowhead). e The specimen was carefully excised from the mini-laparotomy