Digital intelligence empowering pancreatic surgery:technological innovation and clinical practice
10.7659/j.issn.1005-6947.250523
- VernacularTitle:数智赋能胰腺外科:技术创新及临床实践
- Author:
Wenjun LIN
1
;
Haisu TAO
1
;
Chihua FANG
1
;
Jian YANG
1
Author Information
1. 南方医科大学珠江医院 普通外科中心肝胆一科/肝癌诊疗中心;广东省数字医学临床工程技术研究中心;数字智能化微创诊疗设备创新及应用广东省工程研究中心;微创器械创新及应用国家工程研究中心-华南研究院,广东 广州 510280
- Publication Type:Journal Article
- Keywords:
Pancreatic Neoplasms;
Surgical Navigation Systems;
Digital Technology;
Imaging,Three-Dimensional;
Artificial in-telligence
- From:
Chinese Journal of General Surgery
2025;34(9):1882-1891
- CountryChina
- Language:Chinese
-
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.
