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Robotic Left Hepatectomy using Indocyanine Green Fluorescence Imaging for an Intrahepatic Complex Biliary Cyst
Published on: June 24, 2022
[Cognitive reshaping and systemic reconstruction of liver surgery empowered by digital intelligence]
1First Department of Hepatobiliary Surgery, Department of General Surgery, Zhujiang Hospital, Southern Medical University; Institute of Digital Intelligence Minimally Invasive Surgery, Zhujiang Hospital, Southern Medical University; Guangdong Provincial Clinical and Engineering Center of Digital Medicine; South China Institute of National Engineering Research Center of Innovation and Application of Minimally Invasive Instruments; Guangdong Engineering Research Center for Innovation and Application of Digital Intelligent Minimally Invasive Diagnosis and Treatment Equipment, Guangzhou 510280, China.
Abstract:
In recent years, a cluster of digital intelligence technologies, represented by artificial intelligence, three-dimensional visualization, augmented reality and optical imaging, has been reshaping the cognitive foundation and clinical practice of liver surgery. From the frontier perspective of medical-engineering integration, this article systematically reviews eight major advances and breakthroughs in digital intelligence-empowered liver surgery, encompassing preoperative precision diagnosis, intelligent three dimensional planning, augmented reality combined with fluorescence navigation, multimodal optical imaging, intraoperative dynamic perception, large language model-based decision support, personalized prognosis prediction, and standardized ecosystem development. The clinical value of these advances is thoroughly examined in terms of tumor diagnosis, navigational decision-making, postoperative management, and homogeneous promotion. This review aims to provide a theoretical reference for the intelligent transformation of hepatobiliary surgery.