“…Due to these reasons and the fact that spontaneous healing is extremely rare, surgery should be considered as the first line therapy [6][7][8][9][10][11][12][13]. To optimize surgical outcomes, a good preparation of the patient is essential before surgery: the lung infection must be resolved, a correct diet must be guaranteed (indwelling nasogastric tube or a percutaneous endoscopic gastrostomy) and, when possible, the patient must have been weaned from invasive ventilation.…”