Thoracoscopic drainage was performed on 12 patients with hydatid cysts of the lung. The patients were 7 males and 5 females ranging in age from 11 to 64 years old. Thoracoscopic drainage was successfully completed in 9 patients (75%) with a mean hospital stay of 5 days. In one case (8%), air leakage continued beyond 7 days and in two patients (16.6%) the procedure had to be converted to an open operation due to inaccessibility of the cyst and uncontrollable air leakage. No recurrences were detected in the 7 patients that were able to be followed up after surgery. Thoracoscopic drainage can be used to successfully manage selected patients with peripherally located and/or ruptured