Background: Echinococcosis is an infection caused by the Echinococcus Granulosus parasite, mainly affecting the liver and, less commonly, the lungs. Surgical intervention is the main treatment for Echinococcus Granulosus, with various approaches available depending on the cyst characteristics. This study provided a comprehensive assessment of age characteristics, hospitalization length, and regional differences in the surgical treatment of echinococcosis in Kazakhstan. Objectives: To conduct a comparative analysis of regional disparities in surgical management of pulmonary echinococcosis in Kazakhstan and identify organizational factors contributing to the burden of emergency surgeries. Methods: A brief description of the main methods or treatments applied. This can include any relevant preregistration or specimen information. Results: A short summary of the article’s main findings. Conclusions: A final summarizing comment of the main conclusions or interpretations. The abstract should be an objective representation of the article; it must not contain results which are not presented and substantiated in the main text and should not exaggerate the main conclusions. Clinical trial abstracts should include items that the CONSORT group has identified as essential.

Background: Emergency thoracic conditions remain an important cause of hospitalization, emergency surgery, and mortality, requiring well-organized multidisciplinary thoracic surgical services. Objectives: To comprehensively evaluate the organization of emergency thoracic surgical care in multidisciplinary hospitals in Almaty using retrospective hospital data together with patient and healthcare professional-reported assessments. Methods: A multicomponent study was conducted comprising three complementary components: (1) a retrospective analysis of official hospital data from five multidisciplinary hospitals providing emergency thoracic surgical care in Almaty during 2019–2023; (2) a questionnaire survey of patients evaluating their experiences with emergency thoracic care; and (3) a questionnaire survey of healthcare professionals assessing the organization of emergency thoracic surgical services. Descriptive statistics, Pearson’s χ² test, Fisher’s exact test where appropriate, Spearman’s rank correlation coefficient, and multivariable ordinal logistic regression were used. Statistical significance was defined as p < 0.05. Results: During 2019–2023, the annual number of hospitalized patients averaged 519.0 ± 31.7. Chest injuries without internal organ involvement accounted for 50.9% of the 2152 cases included in the pathology-specific analysis, and the distribution of the main thoracic pathology groups changed significantly over time (χ² = 158.8, df = 12, p< 0.001). Hospital mortality decreased from 3.13% to 2.59%, while the average length of hospital stay declined from 8.74 to 7.72 days. Patient-reported assessments were generally favorable. In the adjusted analysis, treatment type and treatment-related complications were independently associated with overall satisfaction, whereas age, gender and time to diagnosis were not. Healthcare professionals identified equipment availability, staff training, and interdepartmental coordination as areas requiring further improvement. Conclusions: Integrating hospital performance indicators with patient-reported experiences and healthcare professional perspectives provided a comprehensive assessment of emergency thoracic surgical care in Almaty. The observed reductions in mortality and length of hospital stay, together with findings from patient and healthcare professional surveys, identify several organizational priorities to strengthen emergency thoracic surgical services further.