Re: Penbegiil et al.: Safety and Efficacy of Ultrasound-guided Percutaneous Nephrolithotomy for Treatment of Urinary Stone Disease in Children (Urology 2012; 79:1015-1019)

摘要

We read with interest the report on the safety and efficacy of ultrasound-guided percutaneous nephrolithotomy (PCNL) for the treatment of urinary stone disease in children. The authors conclude that PCNL can be safely performed with ultrasound guidance, providing the advantages of less radiation exposure, less adjacent organ injury, and similar success and complication rates compared with fluoroscopic guidance.We believe that color Doppler could have been added to ultrasonography to create the access during puncture to distinguish the important renal vascular branches and thus avoid vascular injury and decrease the incidence of hemorrhage.