Background: Hepatic alveococcosis is extremely aggressive disease. Methods: We examined 41 patients from 2008-2017,36 were operated:31 hepatic resections,4 liver transplantation(OLT),1 portosystemic shunting.Among all the cases of hepatic resections(n=1067)alveococcosis accounts for 3.28% Extrahepatic alveococcosis 2(lungs) The complications: 9 obstructive jaundice,4 portal hypertension,1 viral hepatic cirrhosis. The size of a parasitic node in the liver varied 9.3-21.7cm. Results: 35 radical operated: 31 R0-resections,4 OLT,1 portosystemic shunting.6 were not operated:2 due to marked comorbidity; 2 chronic infection+biliary fistulas;1 bile ducts stenting,1 suggested transplantation.Among the surgeries: 4 right hepatectomy,16 right extensive hepatectomy, 2 left extensive hepatectomy,1 left hepatectomy,1 hepatectomy with reverse autotransplantation of the left lateral segment,1 left hepatectomy “ex situ” with 1 and 8 segmentectomy,1 three-segmentectomy,3 bisegmentectomy, 2 segmentectomy. 14 patients have IVC ingrowth:9 IVC prosthetic: 4 one-stage left hepatic vein plastic,5–IVC resection.13 portal vein resection, 7 resection of extrahepatic ducts,7 resection of diaphragm. 11 cases of bile leakage(ISGLS): grade B–4,С–7. Postoperative complications-16(Clavien-Dindo): typeII–4, IVb–1, IIIb–8, V–3. The long-term results:1 recurrent case,2 fatal cases. Conclusion: Liver resection is a treatment of choice,characterized by large extent of resection, and accompanied by resection plastic operations on major vessels and bile ducts.