数智化技术在复杂肝血管瘤切除术中应用价值OA
Clinical application of digital-intelligent technology in the hepatectomy for complex hepatic hemangioma
对于瘤体巨大、毗邻重要脉管且伴有临床症状的复杂肝血管瘤,手术切除仍是目前最有效的治疗方式.由于巨大肝血管瘤血供丰富、空间占位效应明显,极大增加了手术操作难度和术中出血风险.近年来,数智化技术通过数字医学与人工智能技术深度融合,为提升复杂肝血管瘤切除的精准性与安全性提供了新的解决方案.三维可视化技术通过构建个体化肝脏脉管与血管瘤模型,帮助术者直观掌握血管瘤与关键脉管的解剖关系,实现精确手术规划;人工智能技术则进一步赋能血管与病灶自动分割、手术路径智能规划及术中关键解剖结构识别,有效辅助术前规划在术中更精准、高效地落地执行.随着术中多模态影像导航技术发展与相关算法持续优化,数智化技术正推动复杂肝血管瘤切除向更精准、更安全、更智能方向发展,构建从术前评估、术中导航到术后管理的全流程精准外科诊疗模式.
For giant hepatic hemangiomas with complex features such as proximity to major vasculature and the presence of clinical symptoms,surgical resection remains the most effective treatment.Due to their rich vascular supply and significant space-occupying effect,these giant hemangiomas greatly increase surgical difficulty and intraoperative bleeding risk.In recent years,the deep integration of digital medicine and artificial intelligence has given rise to digital-intelligent technology,offering a new approach to enhance the precision and safety of complex hepatic hemangioma resection.Three-dimensional visualization technology constructs individualized models of hepatic vasculature and the hemangioma,enabling surgeons to clearly understand the anatomical relationship between the tumor and critical vessels for precise surgical planning.Artificial intelligence further contributes to the automatic segmentation of blood vessels and lesions,intelligent planning of surgical pathways,and intraoperative identification of critical anatomical structures,effectively assisting in the accurate and efficient execution of preoperative plans during surgery.With the continuous advancement of intraoperative multimodal imaging navigation and related algorithms,digital-intelligent technology is driving the development of complex hepatic hemangioma resection toward greater precision,safety,and intelligence.This progress aims to construct a comprehensive precision surgical management model covering preoperative assessment,intraoperative navigation,and postoperative management.
李馨慈;方驰华;杨剑
南方医科大学珠江医院普通外科中心肝胆一科广东省数字医学临床工程技术研究中心数字智能化微创诊疗设备创新及应用广东省工程研究中心微创器械创新及应用国家工程研究中心-华南研究院,广东 广州 510280南方医科大学珠江医院普通外科中心肝胆一科广东省数字医学临床工程技术研究中心数字智能化微创诊疗设备创新及应用广东省工程研究中心微创器械创新及应用国家工程研究中心-华南研究院,广东 广州 510280南方医科大学珠江医院普通外科中心肝胆一科广东省数字医学临床工程技术研究中心数字智能化微创诊疗设备创新及应用广东省工程研究中心微创器械创新及应用国家工程研究中心-华南研究院,广东 广州 510280
医药卫生
数智化诊疗技术肝血管瘤微创肝切除术人工智能手术规划
digital intelligent diagnosis and treatmenthepatic hemangiomaminimally invasive liver surgeryartificial intelligencesurgical planning
《中国实用外科杂志》 2026 (3)
317-322,6
四大慢病国家科技重大专项课题项目(No.2024ZD0525400,No.2024ZD0525403)国家自然科学基金项目(No.82272132,No.82572383)广东省基础与应用基础研究基金项目(No.2024A1515012051) Noncommunicable Chronic Diseases-National Science and Technology Major Project(No.2024ZD0525400/2024ZD0525403)National Natural Science Foundation of China(No.82272132,No.82572383)Basic and Applied Basic Research Foundation of Guangdong Province of China(No.2024A1515012051)
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