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中华腔镜外科杂志(电子版) ›› 2026, Vol. 19 ›› Issue (02) : 122 -128. doi: 10.3877/cma.j.issn.1674-6899.2026.02.011

综述

人工智能在腹腔镜外科腹部肿瘤手术中的应用进展与前景
焦克凡, 李涛()   
  1. 250012 济南,山东大学齐鲁医院肝胆外科
  • 收稿日期:2026-03-10 出版日期:2026-04-30
  • 通信作者: 李涛

Research advances and future prospects of artificial intelligence in the application of laparoscopic abdominal tumor surgery

Kefan Jiao, Tao Li()   

  1. Department of Hepatobiliary Surgery, Qilu Hospital, Shandong University, Jinan 250012, China
  • Received:2026-03-10 Published:2026-04-30
  • Corresponding author: Tao Li
引用本文:

焦克凡, 李涛. 人工智能在腹腔镜外科腹部肿瘤手术中的应用进展与前景[J/OL]. 中华腔镜外科杂志(电子版), 2026, 19(02): 122-128.

Kefan Jiao, Tao Li. Research advances and future prospects of artificial intelligence in the application of laparoscopic abdominal tumor surgery[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2026, 19(02): 122-128.

腹腔镜外科是微创外科的重要分支,由于具有创伤小、术后恢复快、并发症少等优势,在腹部肿瘤手术中如肝胆胰、胃肠等多个外科亚专科被广泛应用;而腹腔镜外科也有受制于二维视觉、增加操作维度、对手术者的经验要求高等问题,精准度和安全程度仍有待提高。近来由于人工智能(artificial intelligence, AI)拥有强大的数据处理能力、图像识别能力和自动决策能力,在医学领域中交叉发展迅速,使得腹腔镜外科手术向着精准化智能化发展。对此,本综述就人工智能在腹腔镜外科腹部肿瘤手术的术前评估规划、术中定位、术后并发症预测与术后康复等方面的应用现状进行了总结,并分析了目前该类技术应用存在的数据偏倚、模型可解释性、伦理问题,并且从肝胆外科亚专科的临床的角度对该领域未来技术发展趋势以及临床转化前景进行了探讨,对促进人工智能和腹腔镜外科的交叉融合、提高外科诊疗水平提供参考。

Laparoscopic surgery is an important branch of minimally invasive surgery. Due to its advantages of less trauma, faster postoperative recovery and fewer complications, it has been widely used in abdominal tumor surgery in various surgical subspecialties such as hepatobiliary, pancreatic and gastrointestinal surgery. However, laparoscopic surgery also faces limitations such as reliance on two-dimensional vision, increased operational complexity, and high requirements for surgeons′ experience, and its accuracy and safety still need to be improved. Recently, with its powerful data processing, image recognition and automatic decision-making capabilities, artificial intelligence (AI) has developed rapidly in cross-disciplinary applications in medicine, promoting the development of laparoscopic surgery toward precision and intelligence. In this review, we summarize the current applications of AI in laparoscopic abdominal tumor surgery, including preoperative evaluation and planning, intraoperative localization, prediction of postoperative complications, and postoperative rehabilitation. We also analyze the existing challenges in the application of these technologies, including data bias, model interpretability and ethical issues. Furthermore, from the clinical perspective of the hepatobiliary surgery subspecialty, we discuss the future technological development trends and clinical translation prospects in this field. This review aims to provide a reference for promoting the interdisciplinary integration of artificial intelligence and laparoscopic surgery and improving the level of surgical diagnosis and treatment.

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