AI机器人技术在结直肠癌治疗中的现状与未来:技术革新与临床转化
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河北北方学院附属第一医院

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河北省卫计委医学科学重点课题计划(20260786)


The Current Situation and Future of AI Robot Technology in the Treatment of Colorectal Cancer: Technological Innovation and Clinical Transformation
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Department of Vascular gland

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    摘要:

    摘要:人工智能机器人手术系统作为智能外科与生物医学工程交叉融合的前沿产物,正在重塑结直肠癌治疗的技术范式。该系统通过集成高精度机械臂、多模态影像识别、实时决策算法与知识迁移学习机制,显著提升了手术的精准性、稳定性与安全性,尤其在狭窄盆腔内的淋巴清扫、吻合构建与神经保护等关键操作中展现出独特优势。与传统腹腔镜手术相比,AI手术机器人可实现亚毫米级操作精度、实时力觉反馈模拟与个体化路径规划,显著降低术中出血、吻合口瘘及术后功能障碍等并发风险。近年来,随着机器人平台的快速发展与5G远程通信、数字孪生、强化学习等技术的深度融合,结直肠癌手术正加速迈向高智能化、个体化与远程协作化的新阶段。然而,在临床推广过程中仍面临诸如触觉反馈缺失、多模态数据融合延迟、监管路径不明晰及医工协同体系缺失等关键挑战。本文系统综述了AI机器人技术在结直肠癌外科中的发展历程、临床应用优势、关键技术瓶颈及未来演进方向,重点探讨其在智能感知、术中协同、远程手术与临床转化路径中的核心价值,旨在为外科医生、工程研究人员与卫生政策制定者提供跨学科视野下的理论依据与实践参考,推动AI机器人手术系统从工程创新走向高质量的临床应用。

    Abstract:

    Abstract: The artificial intelligence robotic surgical system, as a cutting-edge product of the intersection of intelligent surgery and biomedical engineering, is reshaping the technological paradigm of colorectal cancer treatment. The system significantly improves the accuracy, stability, and safety of surgery by integrating high-precision robotic arms, multimodal image recognition, real-time decision-making algorithms, and knowledge transfer learning mechanisms. It particularly demonstrates unique advantages in key operations such as lymph node dissection, anastomosis construction, and nerve protection in narrow pelvic cavities. Compared with traditional laparoscopic surgery, AI surgical robots can achieve sub millimeter level operational accuracy, real-time force feedback simulation, and personalized path planning, significantly reducing the risk of complications such as intraoperative bleeding, anastomotic leakage, and postoperative dysfunction. In recent years, with the rapid development of robot platforms and the deep integration of technologies such as 5G remote communication, digital twins, and reinforcement learning, colorectal cancer surgery is accelerating towards a new stage of high intelligence, individualization, and remote collaboration. However, in the process of clinical promotion, there are still key challenges such as missing tactile feedback, delayed multimodal data fusion, unclear regulatory pathways, and lack of medical engineering collaboration system. This article systematically reviews the development history, clinical application advantages, key technological bottlenecks, and future evolution directions of AI robot technology in colorectal cancer surgery. It focuses on exploring its core values in intelligent perception, intraoperative collaboration, remote surgery, and clinical transformation paths. The aim is to provide theoretical basis and practical reference for surgeons, engineering researchers, and health policy makers from an interdisciplinary perspective, and promote the high-quality clinical application of AI robot surgery systems from engineering innovation.

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  • 收稿日期:2025-08-14
  • 最后修改日期:2025-10-11
  • 录用日期:2026-07-17
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