中国普通外科杂志2025，Vol.34Issue(9)：1882-1891,10.DOI:10.7659/j.issn.1005-6947.250523
数智赋能胰腺外科:技术创新及临床实践
Digital intelligence empowering pancreatic surgery:technological innovation and clinical practice
摘要
Abstract
Pancreatic surgery remains one of the most challenging fields in general surgery due to its complex anatomy and high risk of complications.In recent years,the integration of digital intelligent technologies-such as three-dimensional(3D)reconstruction,fluorescence navigation,augmented/mixed reality(AR/MR),and artificial intelligence(AI)-has provided new strategies for achieving precision,safety,and intelligence in pancreatic surgery.This review summarizes the innovations and clinical applications of these technologies throughout the full perioperative process,including preoperative planning,intraoperative navigation,and postoperative monitoring.Preoperatively,the deep learning-based nnU-Net framework enables high-precision 3D reconstruction of peripancreatic vessels and pancreaticobiliary ducts for individualized surgical planning.Intraoperatively,multimodal image fusion combining indocyanine green fluorescence imaging with AR/MR navigation allows real-time visualization and spatial localization of key anatomical structures,enhancing surgical accuracy and safety.Postoperatively,AI-driven models integrated with wearable sensors and multimodal data support intelligent risk prediction and early intervention for complications.The systematic application of digital intelligence is reshaping the paradigm of pancreatic surgery,driving the transition from experience-based to data-driven and from surgeon-dependent to intelligent decision-making.With continuous algorithmic refinement and accumulation of clinical evidence,digital empowerment will further advance pancreatic surgery toward personalization,precision,and intelligence.关键词
胰腺切除术/手术导航系统/数字技术/成像,三维/人工智能Key words
Pancreatic Neoplasms/Surgical Navigation Systems/Digital Technology/Imaging,Three-Dimensional/Artificial in-telligence分类
临床医学引用本文复制引用
林文俊,陶海粟,方驰华,杨剑..数智赋能胰腺外科:技术创新及临床实践[J].中国普通外科杂志,2025,34(9):1882-1891,10.基金项目
"癌症、心脑血管、呼吸和代谢性疾病"防治研究国家科技重大专项基金资助项目(2024ZD0525400,2024ZD0525403) （2024ZD0525400,2024ZD0525403）
国家自然科学基金资助项目(82572383,82272132) （82572383,82272132）
广东省基础与应用基础研究基金资助项目(2024A1515012051) （2024A1515012051）
广东省基础与应用基础研究基金粤港澳研究团队基金资助项目(2021B1515130003) （2021B1515130003）
广州市重点研发计划基金资助项目(2023B03J1246). （2023B03J1246）
