Wang Xianxing, Yang Jiali, Zhou Beichuan, Tang Li, Liang Yongxing
Institute of Hepatopancreatobiliary Surgery, Chongqing General Hospital, Chongqing University, Chongqing 401147, China.
Chongqing Key Laboratory of Intelligent Medicine Engineering for Hepatopancreatobiliary Diseases, Chongqing 401147, China.
ILIVER. 2025 May 16;4(2):100167. doi: 10.1016/j.iliver.2025.100167. eCollection 2025 Jun.
Hepatobiliary surgeries, particularly hepatectomy and liver transplantation, are critical interventions for hepatic malignancies and end-stage liver diseases. These complex procedures face challenges due to the liver's intricate anatomy and vascularization. The integration of Mixed Reality (MR), Augmented Reality (AR), and Artificial Intelligence (AI) is increasingly enhancing the precision, safety, and outcomes of these surgeries. MR and AR improve visualization of anatomical structures, assist in preoperative planning, and support patient education through immersive 3D models. AI-driven technologies provide real-time intraoperative feedback and navigation, optimizing surgical decisions and minimizing risks. Postoperatively, these technologies aid in patient education and recovery management, ultimately improving outcomes. This review explores the applications of MR, AR, and AI in liver surgeries and their potential to transform surgical practice by enhancing precision, safety, and patient engagement.
肝胆手术，尤其是肝切除术和肝移植，是治疗肝脏恶性肿瘤和终末期肝病的关键干预措施。由于肝脏复杂的解剖结构和血管分布，这些复杂手术面临诸多挑战。混合现实（MR）、增强现实（AR）和人工智能（AI）的整合正日益提高这些手术的精准度、安全性和手术效果。MR和AR改善了解剖结构的可视化，有助于术前规划，并通过沉浸式3D模型支持患者教育。人工智能驱动的技术提供实时术中反馈和导航，优化手术决策并将风险降至最低。术后，这些技术有助于患者教育和康复管理，最终改善手术效果。本综述探讨了MR、AR和AI在肝脏手术中的应用及其通过提高精准度、安全性和患者参与度来改变手术实践的潜力。
