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数智化助力微创外科发展和未来研究方向OA

Development and future directions of minimally invasive surgery in the era of digital and intelligent technologies

中文摘要英文摘要

以腹腔镜技术为代表的微创手术发展已近40年,其以确切的近期与远期疗效颠覆了绝大部分手术术式,3D-4K腹腔镜及机器人手术的赛道已经非常拥挤,技术上已经遇到瓶颈,亟待新的技术、装备与治疗模式的出现.数智化赋能微创手术将锻造微创手术技术发展的新动能,而数字驱动将激活微创外科产业的智慧图景.数智化技术正重塑微创外科手术的全流程:术前可实现更清晰的解剖可视化与更合理的手术路径规划;术中通过实时智能导航和风险预警提升操作的精准度与安全性;术后依托风险预测模型和实时监测设备,实现并发症的早期识别与主动管理.总体来看,数智化将推动微创外科迈向更加精准与智能的新阶段.

Minimally invasive surgery(MIS),represented by laparoscopic surgery,has developed for nearly four decades and has revolutionized the majority of surgical procedures through its proven short-and long-term efficacy.However,the fields of 3D 4K laparoscopy and robotic surgery have become increasingly crowded,and technological innovation has reached a plateau,creating an urgent need for new technologies,equipment,and treatment models.We propose that the integration of digitalization and intelligence will provide new momentum for the advancement of MIS,and that data-driven surgical innovation will reshape the future landscape of minimally invasive surgical care.Digital and intelligent technologies are reshaping the entire surgical workflow:preoperatively,they enable clearer anatomical visualization and more rational operative planning;intraoperatively,real-time intelligent navigation and risk alerts enhance precision and safety;postoperatively,risk prediction models and continuous monitoring allow for early detection and proactive management of complications.Overall,digital intelligence is expected to advance MIS toward a more precise and smarter era.

郑民华;李树春;邵岩飞

上海交通大学医学院附属瑞金医院普外科上海市微创外科临床医学中心,上海 200025上海交通大学医学院附属瑞金医院普外科上海市微创外科临床医学中心,上海 200025上海交通大学医学院附属瑞金医院普外科上海市微创外科临床医学中心,上海 200025

医药卫生

微创外科腹腔镜数智化人工智能术中导航

minimally invasive surgerylaparoscopydigital and intelligentartificial intelligenceintraoperative navigation

《中国实用外科杂志》 2026 (1)

19-23,5

National Natural Science Foundation of China(General Program,No.82072614)Shanghai Innovative Medical Device Application Demonstration Project(No.23SHS03000) 国家自然科学基金面上项目(No.82072614)上海创新医疗器械应用示范项目(No.23SHS03000)

10.19538/j.cjps.issn1005-2208.2026.01.05

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