Holzwarth F, Reuter M A, Epple W, Fürstenau C
Urologische Klinik, Stuttgart.
Z Urol Nephrol. 1989 Aug;82(8):397-403.
The new procedure for transurethral prostatectomy (TURP with physiologic low pressure irrigation and continuous aspiration of irrigant) reduces complication and mortality in respect to surgical prostatectomy: In 2.500 TURP clinical significant pulmonary embolism was not realised, mortality was 0.3%. The average blood loss was 238 cc. by a weight of 44.8 g, blood transfusion were necessary in only 4%. Low pressure TURP can be performed in most high risk patients, this is not true for open surgical prostatectomy, which has a rate of complications up to 25%. Postoperative recovery and late results are definitely improved by low pressure TURP, teaching is facilitated.
经尿道前列腺切除术的新方法（采用生理性低压冲洗和持续灌洗液抽吸的经尿道前列腺切除术）与开放性前列腺切除术相比，并发症和死亡率更低：在2500例经尿道前列腺切除术中，未发生具有临床意义的肺栓塞，死亡率为0.3%。平均失血量为238毫升，切除组织重量为44.8克，仅4%的患者需要输血。大多数高危患者都可以进行低压经尿道前列腺切除术，而开放性前列腺切除术则不然，其并发症发生率高达25%。低压经尿道前列腺切除术明显改善了术后恢复情况和远期效果，也便于教学。
