We report a case of hydatidosis of the bilateral lung and of the left lobe of the liver which we treated by cystotomy and capitonnage via right video-assisted thoracoscopy, left posterolateral thoracotomy, and diaphragm incision in a single-stage operation. The patient developed a right pleural infection in the ninth postoperative month and underwent exploratory thoracotomy and recapitonnage. Thoracoscopic cyst extirpation can be safely performed alone or in combination with thoracotomy to reduce the operative inconvenience for patients.

Elective surgery is indicated in a small subset of patients with hemangiomas because of abdominal pain, enlargement, diagnostic uncertainty and bleeding after needle biopsy. The results of surgery without any mortality and minimal morbidity are safe and effective. Enucleation is the preferred operation and can be performed rapidly and safely.