Introduction: Hydatid cyst is commonly encountered in Nepal with different clinical presentation. Surgery is the treatment of choice. For H. cyst of lung, beside standard thoracotomy Video assisted Thoracoscopy Surery (VATS) has equally good outcome.
Method: This was a retrospective, descriptive study of duration of 5 years from 2017 to 2021, conducted in Department of General Surgery of Bir Hospital, National Academy of Medical Sciences, Nepal.
Result: Out of 43 patients (age 14 – 63years), most common presenting symptom was cough (48.84%), 16.28% were asymptomatic. Patients were treated with standard thoracotomy (72.09%) and VATS (11.63%) with commonest complication of pneumothorax (6.98%), recurrence in (2.33%) having mortality of (2.33%).
Conclusion: H. cyst is commonly encounter in Nepal. Surgery is the treatment of choice. For the treatment of the pulmonary H.cyst VATS is safe having good result.