The study included 58 patients with pulmonary hydatid cysts. There were 33 (56.9 %) men and 25 (43.1 %) women. Based on the choice of treatment method, the patients were divided into two groups: group I (16 patients) underwent video-assisted thoracoscopy (VATS); group II (42 patients) -open echinococcectomy. Surgical techniques that provide parenchymapreserving approaches were key in choosing the treatment of pulmonary echinococcosis. In group II, the development of postoperative complications in 5 (11.9 %) patients were noted. Echinococcosis recurrence was not observed in any of the groups. The use of VATS reduces the duration of surgical intervention with a simultaneous decrease in the number of postoperative complications and the length of the patient's stay in the hospital.