穿越微创发展迷雾引领微创技术方向  

Through the fog of minimally invasive development,leading the direction of minimally inva-sive technology

作　　者：郑民华[1] 马君俊[1] 赵轩[1] 李树春 Zheng Minhua;Ma Junjun;Zhao Xuan;Li Shuchun(Department of Gastrointestinal Surgery,Department of General Surgery,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai Minimal Invasive Surgery Center,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院普通外科、胃肠外科、上海市微创外科临床医学中心,上海200025

出　　处：《中华消化外科杂志》2025年第1期48-51,共4页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金(82072614);上海市经济和信息化委员会-创新医疗器械应用示范项目(23SHS03000,23SHS03000-01,23SHS03000-02,23SHS03000-03)。

摘　　要：以腔镜为代表的微创手术开展已历经30余年,技术发展已趋于平缓,目前的技术发展还是在以腔镜为平台的技术上进行改良和微创新。从多孔腔镜到减孔、单孔腔镜,从经腹到经自然孔技术,从标清、高清到3D和4K超高清荧光导航腹腔镜。发展方兴未艾的机器人手术也是基于腔镜平台开发而成,从疾病治疗角度而言并没有革命性的改变,比如改变肿瘤治疗的远期疗效。在这个技术繁荣但充满不确定性的时代,微创手术的未来可能并非单一技术革新,而是多项技术的有机融合与共同发展。为此笔者将重点探讨目前各类微创技术的优势与面临的挑战,并展望人工智能在微创外科精准技术和决策中的应用前景,以期为微创外科的持续发展开辟新道路,穿越当下迷雾,迈向更加精准、高效、普及化的未来。Minimally invasive surgery represented by laparoscopy has been carried out for more than 30 years,and the technological development has tended to be flat.Currently,the techno-logy is still improving and innovating on the platform of laparoscopy,from traditional laparoscopy to reduced port and single port laparoscopy,from transabdominal to natural orifice transluminal tech-niques,from standard definition and high-definition to 3D and 4K ultra high definition fluorescence guided laparoscopy.The booming development of robotic surgery is also based on the platform of laparoscopy.From the perspective of disease treatment,there is no revolutionary change,such as changing the long-term efficacy of tumor treatment.In this era of technological prosperity but uncertainty,the future of minimally invasive surgery may not be a single technological innovation,but the organic integration and common development of multiple technologies.The authors will focus on the advantages and challenges of various minimally invasive technologies,and look forward to the application prospects of artificial intelligence in precision technology and decision-making in minimally invasive surgery,in order to open up new paths for the sustainable development of mini-mally invasive surgery,overcome current confusion,and move towards a more accurate,efficient,and popularized future.

关 键 词：微创外科 手术机器人 人工智能 腹腔镜检查 

分 类 号：R61[医药卫生—外科学]