Bronchopleural fistula: prevention is still best

In their paper, Dal Agnol and colleagues review the management of central bronchopleural fistula (BPF) following lung resections (1). BPF remains a complication much dreaded by thoracic surgeons. The diagnosis invariably evokes a sense of trepidation, and treatment presents a major therapeutic challenge. It carries a significant risk of morbidity, and mortality is reported to be between 16–72% (2,3).