Tai Justina Cheh Juan, Pervaiz Muhammad, Deen Shameer, Tasleem Ali, Nkwam Nkwam
Princess Royal University Hospital, King's College Hospitals NHS Foundation Trust, London, UK.
Urol Case Rep. 2023 Jun 21;50:102470. doi: 10.1016/j.eucr.2023.102470. eCollection 2023 Sep.
Holmium laser enucleation of the prostate (HoLEP) is the preferred technique for surgical management of benign prostatic hyperplasia in prostates over 80 cc in size. A 72-year-old male underwent a HoLEP for catheter-dependent urinary retention in the context of a 204 cc prostate. At the end of the procedure he was clinically overloaded and had developed a combined respiratory and hyperchloremic normal anion gap metabolic acidosis secondary to excessive absorption of normal saline irrigation fluid. He was transferred to the ICU for diuresis and supportive care where he made a full recovery.
钬激光前列腺剜除术（HoLEP）是治疗体积超过80立方厘米的前列腺良性增生的首选手术方法。一名72岁男性因204立方厘米的前列腺导致导尿管依赖型尿潴留而接受了HoLEP手术。手术结束时，他出现临床负荷过重，并因生理盐水灌洗液吸收过多继发了呼吸性和高氯性正常阴离子间隙代谢性酸中毒。他被转至重症监护病房进行利尿和支持治疗，并完全康复。
