手术记录是手术科室病历和医疗文书的核心组成部分。手术记录的标准化有利于规范手术流程，提高手术质量，保障患者安全。为了使手术记录能更客观、直观和详细地反映手术实境，一直以来，国内外许多高水平医院的外科中心沿袭以“图文结合形式 ”书写手术记录的良好传统，以便复盘手术及结构化数据的采集，也便于高质量临床研究和手术教学的实施。2015年，中华医学会外科学分会手术学学组制订了《倡用图文外科手术记录专家共识》。近年来，信息技术的迅猛发展为图文手术记录的进一步推广提供了技术保障。经过多方、多次相关专家的讨论和调研，在充分考虑国家相关政策要求、信息标准及临床应用实践难点和最新研究成果的基础上，中华医学会外科学分会外科手术学学组修订了2025版共识，旨在加强图文手术记录的标准化和规范化，促进外科医疗、科研及教学质量的提升，助力健康中国建设。

Surgical records are the core components of medical documents in clinical centers of surgery. Standardization of surgical records contributes to standardizing surgical procedures, improving the quality of surgery, and ensuring patient safety. To ensure that surgical records more objectively, visually, and comprehensively reflect the actual surgical process, numerous high-level university hospitals' surgical centers have long adhered to the good tradition of documenting surgical records in a “combination of text and images” format. Graphic surgical records not only benefit postoperative review and structured data collection but also facilitate the implementation of high-quality clinical research and surgical training. As early as 2015, Group of Operative Surgery, Chinese Society of Surgery, Chinese Medical Association already formulated the “Expert Consensus on Advocating the use of graphic surgical records”. In recent years, rapid development of information technology has provided technical support for the further promotion of graphical surgical records. After extensive and multiple rounds of professional discussions and investigations, and based on a thorough consideration of relevant national policy requirements, information standards, the 2025 edition of the “Expert Consensus” is intended to be revised, aiming to enhance the standardization of graphical surgical records, improve the quality of surgery and training system, as well as clinical researches, thereby contributing to the development of Healthy China.