人工智能重塑外科学范式的实践与创新OA
Practice and innovation of artificial intelligence shaping the paradigm of surgery
人工智能(AI)正驱动外科学范式的深刻变革.术前,AI通过深化影像诊断、赋能影像组学预测及动态交互式手术规划,推动决策从经验直觉转向数据驱动.术中,AI作为实时辅助,在计算机视觉导航、手术流程分析、机器人智能化及术中快速诊断等方面增强外科医师的感知、操作与决策能力.术后,基于连续数据流的AI预测模型能实现并发症的早期预警与主动防控,并赋能居家康复.此外,AI通过客观化技能评估、大语言模型知识赋能及高保真模拟,正在转型外科教育模式.但AI的临床转化仍面临临床研究证据不足、数据与算法瓶颈、系统集成困难以及伦理法律监管框架待完善等挑战.未来发展趋势将朝向构建外科基础模型、发展病人数字孪生、建设人机共融的智能手术室等,最终推动临床外科从"工匠手艺"转化为"智能科学".
Artificial intelligence(AI)is driving a profound transformation in the paradigm of surgery.Before the operation,AI promotes decision-making from intuitive experience to data-driven through deepening imaging diagnosis,empowering imaging-based predictive analytics,and providing dynamic interactive surgical planning.During the operation,AI serves as real-time assistance,enhancing surgeons' perception,operation,and decision-making capabilities in areas such as computer vision navigation,surgical process analysis,robotic intelligence,and intraoperative rapid diagnosis.Post-operatively,AI prediction models based on continuous data streams can achieve early warning and proactive prevention of complications and empower home-based rehabilitation.Additionally,AI is transforming the surgical education model through objective skill assessment,knowledge empowerment by large language models,and high-fidelity simulation.However,the clinical translation of AI still faces core challenges such as insufficient clinical research evidence,data and algorithm bottlenecks,difficulties in system integration,and the need for improved ethical and legal regulatory frameworks.Future trends will involve building surgical foundation models,developing patient digital twins,and constructing human-machine integrated intelligent operating rooms,ultimately reshaping clinical surgery from"artisanal craftsmanship"to"intelligent science".
夏锋;陈孝平
陆军军医大学第一附属医院肝胆外科,重庆 400038华中科技大学同济医学院附属同济医院肝脏外科中心,湖北武汉 430030
医药卫生
人工智能外科学外科基础模型数字孪生临床转化医工融合
artificial intelligencesurgerysurgical founda-tion modeldigital twinclinical translationmedical-engineer-ing integration
《中国实用外科杂志》 2026 (5)
614-619,6
重庆市自然科学基金项目(No.CSTB2023NSCQ-MSX0563) Chongqing Natural Science Foundation Project(No.CSTB2023NSCQ-MSX0563)
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