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中华普外科手术学杂志(电子版) ›› 2026, Vol. 20 ›› Issue (05) : 409 -413. doi: 10.3877/cma.j.issn.1674-3946.2026.05.001

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数字智能化在右半结肠癌微创外科的发展
蔡泽荣1,2,3, 兰平1,2,3, 吴小剑1,2,3,†()   
  1. 1 510655 广州,中山大学附属第六医院普通外科(结直肠外科)
    2 510655 广州,广东省结直肠盆底疾病研究重点实验室
    3 510760 广州,广州市黄埔区中六生物医学创新研究院
  • 收稿日期:2026-02-23 出版日期:2026-10-26
  • 通信作者: 吴小剑

The development of minimally invasive surgery for right-sided colon cancer in the context of digital intelligenceization

Zerong Cai1,2,3, Ping Lan1,2,3, Xiaojian Wu1,2,3,†()   

  1. 1 Department of General Surgery (Colorectal Surgery), the Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou Guangdong Province 510655, China
    2 Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, the Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou Guangdong Province 510655, China
    3 Biomedical Innovation Center, the Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou Guangdong Province 510760, China
  • Received:2026-02-23 Published:2026-10-26
  • Corresponding author: Xiaojian Wu
  • Supported by:
    Key Supported Project of National Natural Science Foundation of China(U25C2037); General Program of National Natural Science Foundation of China(82573589); Regional Joint Fund-Guangdong-Hong Kong-Macao Research Team Project, Guangdong Basic and Applied Basic Research Foundation(2023B1515130008); Key Research and Development Program of Guangdong Province(2023B1111040003)
引用本文:

蔡泽荣, 兰平, 吴小剑. 数字智能化在右半结肠癌微创外科的发展[J/OL]. 中华普外科手术学杂志(电子版), 2026, 20(05): 409-413.

Zerong Cai, Ping Lan, Xiaojian Wu. The development of minimally invasive surgery for right-sided colon cancer in the context of digital intelligenceization[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2026, 20(05): 409-413.

右半结肠切除术是结肠癌最主要的手术方式之一。然而,该术式涉及诸多血管解剖变异,手术范围毗邻十二指肠、胰腺等重要脏器,且淋巴结转移常见,致使腹腔镜右半结肠切除术存在一定的技术门槛。近年来,随着深度学习算法、三维血管重建技术及高清荧光腹腔镜等技术的迭代发展,数字智能化在右半结肠微创切除手术中的应用场景已逐步落地,并在术中实时指引手术、提高根治性切除率、降低手术并发症、辅助围手术期管理等方面助力临床诊疗决策。本文拟从右半结肠血管重建、淋巴结示踪清扫及人工智能辅助术中决策等方面的最新进展,结合笔者团队的研究经验,阐述数字智能化在右半结肠癌微创治疗中的发展现状,并对该领域未来可能的发展方向提出展望。

Right hemicolectomy is the main surgical procedures for colon cancer. However, this procedure requires a relatively high level of surgical proficiency, as it involves vascular anatomical variations, a surgical field adjacent to vital organs such as the duodenum and pancreas, and the frequent need to manage lymph node metastasis. In recent years, with the development of deep learning algorithms, three-dimensional vascular reconstruction technology, and high-definition fluorescence laparoscopy, the application of digital intelligence in minimally invasive right hemicolectomy has been gradually implemented. This article aims to review the latest advances in right colon vascular reconstruction, real-time lymph node tracking and artificial intelligence-assisted intraoperative decision-making to elucidate the current status of digital intelligence in the minimally invasive treatment of right colon cancer, and also offer perspectives on its possible future directions.

图1 基于CT影像的右半结肠癌手术解剖要素三维重建(笔者团队将关键解剖要素进行一体化建模)
图2 美蓝荧光联合人工智能重建的术中输尿管实时指引
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