智能化与个体化在直肠癌微创外科的应用

doi:10.3877/cma.j.issn.1674-3946.2026.06.003

中华普外科手术学杂志(电子版) ›› 2026, Vol. 20 ›› Issue (06) : 520 -523. doi: 10.3877/cma.j.issn.1674-3946.2026.06.003

专家论坛

智能化与个体化在直肠癌微创外科的应用

方振, 商亮, 李乐平^†(

)

250021　济南，山东第一医科大学附属省立医院胃肠外科

收稿日期:2026-07-11 出版日期:2026-12-26
通信作者: 李乐平

Intelligence and individualization in the application of minimally invasive surgery for rectal cancer

Zhen Fang, Liang Shang, Leping Li^†()

Department of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan Shandong Province 250021, China

Received:2026-07-11 Published:2026-12-26
Corresponding author: Leping Li
Supported by:
National Natural Science Foundation of China(82372772，82203854); Natural Science Foundation of Shandong Province(ZR2025QC982)

全文 ( ) 下载PDF ( ) 导出引用

直肠癌是常见的消化道恶性肿瘤之一，其治疗方式正逐渐从传统的开放手术向微创手术、从标准化治疗向个体化精准治疗转变。人工智能、机器人手术系统、术中影像导航及多组学技术的快速发展，为直肠癌微创外科的个体化治疗提供了关键支撑。本文系统综述智能化与个体化技术在直肠癌微创外科中的应用现状，包括术前精准评估、术中智能导航和围手术期个体化管理三个主要环节，并探讨当前技术面临的挑战与未来发展方向。

关键词: 直肠肿瘤, 微创外科, 人工智能, 个体化治疗, 机器人手术

Rectal cancer is one of the most common malignant tumors of the digestive tract. Its treatment modalities are gradually shifting from traditional open surgery to minimally invasive surgery, and from standardized therapy to individualized precision treatment. The rapid development of artificial intelligence, robotic surgical systems, intraoperative image navigation, and multi-omics technologies has provided crucial support for individualized treatment in minimally invasive surgery for rectal cancer. This article systematically reviews the current applications of intelligent and individualized technologies in minimally invasive surgery for rectal cancer, encompassing three main aspects: preoperative precise assessment, intraoperative intelligent navigation, and perioperative individualized management, while also discussing the challenges faced by current technologies and future directions for development.

Key words: Rectal Neoplasms, Minimally Invasive Surgery, Artificial Intelligence, Personalized Treatment, Robotic Surgery

［1］	孙可欣，李荔，王少明，et al. 2024年中国分地区恶性肿瘤流行情况分析［J］. 中国肿瘤杂志，2026，48（3）: 400-412.
［2］	Violante T，Ferrari D，Novelli M，et al. Super Learner Enhances Postoperative Complication Prediction in Colorectal Surgery［J］. Ann Surg，2025: 1-10.
［3］	Liu Z，Gu W，Liu L，et al. Interpretable MRI-based Multiparametric Radiomics for Preoperative Prediction of CMS4 Colorectal Cancer［J］. Radiology，2026，319（2）: e251719.
［4］	Chen X，Qiu MY，Zhang JP，et al. Colorectal cancer detection using noncontrast CT and deep learning: a multicenter and international cohort study［J］. Ann Oncol，2026: 10-18.
［5］	Xiang J，Gao L，Han P，et al. Deep learning-driven MRI radiomics reveals biological subtypes and predicts recurrence risk in rectal cancer［J］. NPJ Precis Oncol，2026: 1-12.
［6］	Rosen AW，Ose I，Gogenur M，et al. Clinical implementation of an AI-based prediction model for decision support for patients undergoing colorectal cancer surgery［J］. Nat Med，2025，31（11）: 3737-3748.
［7］	Cai D，Qi H，Yang Q，et al. Personalized risk stratification in colorectal cancer via PIANOS system［J］. Nature communications，2025，16（1）: 6561.
［8］	Feng Q，Yuan W，Li T，et al. Robotic vs Laparoscopic Surgery for Middle and Low Rectal Cancer: The REAL Randomized Clinical Trial［J］. JAMA，2025，334（2）: 136-148.
［9］	Chang GC，Sidhu U，Lai D，et al. A pilot study on the impact of da Vinci 5's force feedback on clinical outcomes: Does it lead to less tissue trauma in colorectal surgery?［J］. Am J Surg，2025，248: 116518.
［10］	Ryu S，Imaizumi Y，Goto K，et al. Artificial intelligence-enhanced navigation for nerve recognition and surgical education in laparoscopic colorectal surgery［J］. Surg Endosc，2025，39（2）: 1388-1396.
［11］	Ryu S，Imaizumi Y，Goto K，et al. Feasibility of Simultaneous Artificial Intelligence-Assisted and NIR Fluorescence Navigation for Anatomical Recognition in Laparoscopic Colorectal Surgery［J］. J Fluoresc，2025，35（8）: 6755-6761.
［12］	Qiu W，Niu H，Hu G，et al. Fluorescence lymph node mapping using ICG improves lateral lymph node dissection for mid-low rectal cancer: a propensity score-matched cohort［J］. Tech Coloproctol，2025，29（1）: 139.
［13］	Xu RH，Wang F，Chen G，et al. 127P Neoadjuvant IBI310 plus sintilimab in locally advanced MSI-H/dMMR colon cancer: Interim results of the phase Ⅲ neoshot study［J］. Immuno-Oncology and Technology，2025，28: 101211.

[1]	侯刘进, 贺智翔, 戴清清, 黄帆, 耿小平, 赵红川, 汪正广. 三种同期手术切除方式治疗结直肠癌肝转移的安全性和预后比较[J/OL]. 中华普通外科学文献(电子版), 2026, 20(05): 291-296.
[2]	杨进宝, 李伟, 张冰, 陈健, 王吉哲, 王玉佳, 王顺, 蒋志斌, 杨建玲. 基于解剖学基础的新辅助治疗后腹腔镜低位直肠癌适形保肛术技术难度的因素分析[J/OL]. 中华普通外科学文献(电子版), 2026, 20(05): 297-301.
[3]	胡青, 周引涵, 塔来提·吐尔干, 阿依甫汗·阿汗. 结直肠癌肝转移免疫微环境的器官特异性机制整合与展望[J/OL]. 中华普通外科学文献(电子版), 2026, 20(05): 330-339.
[4]	郑民华, 李树春, 马君俊. 数字人工智能在直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(06): 511-515.
[5]	晏阳, 谢天宇, 杜晓辉. 智能化在直肠癌微创外科的实践[J/OL]. 中华普外科手术学杂志(电子版), 2026, 20(06): 516-519.
[6]	蔡泽荣, 吴小剑. 机器人辅助右半结肠切除术[J/OL]. 中华普外科手术学杂志(电子版), 2026, 20(05): 420-420.
[7]	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.
[8]	燕速, 何坤山, 谢宏宇, 霍博文, 刘云荣, 李园园. 智能化与个体化在右半结肠癌微创外科的应用[J/OL]. 中华普外科手术学杂志(电子版), 2026, 20(05): 414-419.
[9]	梁承友, 姚德炯, 叶志刚, 王敏, 张小容, 方舒, 朱明, 廖介. 以IMA为轴心的No.253组淋巴结清扫在保留左结肠动脉的直肠癌根治术中对自主神经的保护作用[J/OL]. 中华普外科手术学杂志(电子版), 2026, 20(05): 463-467.
[10]	夏明宇, 刘光昊, 孙倩男, 刘宾, 王道荣. 基于炎症与营养指标的早发型直肠癌患者预后列线图的构建与验证[J/OL]. 中华普外科手术学杂志(电子版), 2026, 20(05): 468-473.
[11]	李永顺, 李凡凡, 常娟, 杨晓春. 经皮肾镜碎石取石术穿刺定位技术的研究进展[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2026, 20(05): 594-600.
[12]	刘立民, 张宗明, 刘卓. 胆总管结石合并胆囊结石的腹腔镜、胆道镜及内镜联合治疗进展[J/OL]. 中华肝脏外科手术学电子杂志, 2026, 15(05): 692-701.
[13]	马煜博, 李起, 耿智敏. 胆道恶性肿瘤预后预测模型：现状、挑战与未来展望[J/OL]. 中华肝脏外科手术学电子杂志, 2026, 15(05): 702-710.
[14]	关竣庭, 陈吉远, 潘胜淇, 李琦, 王贵玉, 汤庆超. 一例直肠癌同时性肝转移合并脾曲腹膜种植的诊疗启示与多学科处理[J/OL]. 中华结直肠疾病电子杂志, 2026, 15(05): 470-476.
[15]	林静, 侯世会, 王佳丽, 甘宏博, 封蕾, 李民, 陈客宏. 生成式人工智能支持的纠错式案例教学在肾内科实习中的应用[J/OL]. 中华肾病研究电子杂志, 2026, 15(05): 280-285.

阅读次数

全文

摘要

选择文件类型/文献管理软件名称

选择包含的内容

Intelligence and individualization in the application of minimally invasive surgery for rectal cancer

模态框（Modal）标题

选择文件类型/文献管理软件名称

选择包含的内容

Intelligence and individualization in the application of minimally invasive surgery for rectal cancer