精准外科时代胰腺手术解剖学范式转变:从经验解剖到功能解剖OA

With the increasing integration of precision surgery concepts and artificial intelligence into clinical practice,pancreatic surgery is undergoing a paradigm shift from"empirical anatomy"to"functional anatomy".Traditional empirical anatomy,guided by surgical exposure and anatomical resection,has been limited by subjective experience and two-dimensional image reconstruction.In contrast,functional anatomy emphasizes prognosis and physiological preservation,aiming to achieve a balance among curative resection,long-term survival,and organ function preservation.Clinically,this conceptual evolution has driven the adoption of techniques such as arterial-first approaches,pancreatic mesentery dissection,and organ-and blood supply-preserving procedures,advancing pancreatic surgery toward greater refinement.Based on three-dimensional reconstruction and digital twin technology,preoperative digital prediction of complex vascular variations becomes feasible.Furthermore,AI-powered intraoperative multimodal navigation and risk alerts,along with active intelligent monitoring of postoperative complications,provide new dimensions of visualization and quantification for functional anatomy,promoting standardization and homogenization in pancreatic surgery.