Endoscopic Bronchopleural Fistula Repair Using Autologous Fat Graft

Bronchopleural fistulas (BPFs) represent a rare catastrophic complication of pulmonary resection and carry a high mor-tality rate. Surgical treatments of BPF are often technically difficult and can be tolerated only by a limited number of patients, while less invasive endoscopic approaches show variable success rates, mainly related to the size of the fis-tula. In this report, we describe the successful treatment of a large BPF by means of endoscopic autologous fat implan-tation; we also discuss the technical details of this surgical procedure.