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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

楼文晖

中国实用外科杂志2026,Vol.46Issue(8):1046-1049,4.
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中国实用外科杂志2026,Vol.46Issue(8):1046-1049,4.DOI:10.19538/j.cjps.issn1005-2208.2026.08.07

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

Anatomical paradigm shift in pancreatic surgery in the era of precision surgery:From empirical anatomy to functional anatomy

楼文晖1

作者信息

  • 1. 复旦大学附属中山医院胰腺外科 上海市老年医学中心普外科,上海 200032
  • 折叠

摘要

Abstract

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.

关键词

胰腺外科/解剖学/精准外科

Key words

pancreatic surgery/anatomy/precision surgery

分类

医药卫生

引用本文复制引用

楼文晖..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[J].中国实用外科杂志,2026,46(8):1046-1049,4.

中国实用外科杂志

1005-2208

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