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.
作者
郑民华
李树春
邵岩飞
ZHENG Min-hua;LI Shu-chun;SHAO Yan-fei(Department of General Surgery,Ruijin Hospital,Shanghai Jiao-Tong University School of Medicine,Shanghai Minimal Invasive Surgery Center,Shanghai 200025,China)
出处
《中国实用外科杂志》
2026年第1期19-23,共5页
Chinese Journal of Practical Surgery
基金
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)。
关键词
微创外科
腹腔镜
数智化
人工智能
术中导航
minimally invasive surgery
laparoscopy
digital and intelligent
artificial intelligence
intraoperative navigation
