Madsen P O, Frimodt-Møller P C
J Urol. 1984 Aug;132(2):277-9. doi: 10.1016/s0022-5347(17)49589-9.
The use of a suprapubic trocar in transurethral prostatic resection was evaluated between 1975 and 1982. Of 884 transurethral prostatic resections performed 577 were done using the trocar, and 307 using the conventional filling and emptying technique. There was no difference in operative time when resecting small glands. All large glands (more than 30 gm.) were resected using the trocar technique. Severe cases of the so-called transurethral resection syndrome have been eliminated completely by this procedure. The blood loss was slightly higher when the trocar technique was used, probably because of the low pressure in the prostatic fossa during resection. We recommend the trocar in transurethral prostatic resection, since it facilitates the procedure by allowing uninterrupted resection, keeps the bladder pressure low and, thereby, minimizing the amount of absorbed irrigating fluid, and has practically no complications.
1975年至1982年间对耻骨上套管针在经尿道前列腺切除术中的应用进行了评估。在884例经尿道前列腺切除术中，577例使用套管针，307例使用传统的充盈和排空技术。切除小腺体时手术时间没有差异。所有大腺体（超过30克）均采用套管针技术切除。所谓的经尿道切除综合征的严重病例已通过该手术完全消除。使用套管针技术时失血略多，可能是因为切除过程中前列腺窝压力低。我们推荐在经尿道前列腺切除术中使用套管针，因为它通过允许不间断切除来简化手术，保持膀胱压力低，从而使冲洗液吸收量最小化，并且几乎没有并发症。
