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中华肝脏外科手术学电子杂志 ›› 2026, Vol. 15 ›› Issue (04) : 545 -550. doi: 10.3877/cma.j.issn.2095-3232.2026.04.007

前沿与争鸣

微创脾部分切除术的发展现状与展望
李中宇, 杨谨闻, 麻勇()   
  1. 150001 哈尔滨医科大学附属第一医院肝脏微创外科 黑龙江省肝脾外科教育部重点实验室
  • 收稿日期:2026-01-12 出版日期:2026-08-10
  • 通信作者: 麻勇
  • 基金资助:
    国家自然科学基金(82370643,82525068); 黑龙江省重点研发计划(2024ZX12C28)

Progress and prospect in minimally invasive partial splenectomy

Zhongyu Li, Jinwen Yang, Yong Ma()   

  1. Department of Minimally Invasive Hepatic Surgery, Heilongjiang Provincial Key Laboratory of Hepatosplenic Surgery of Ministry of Education, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, China
  • Received:2026-01-12 Published:2026-08-10
  • Corresponding author: Yong Ma
引用本文:

李中宇, 杨谨闻, 麻勇. 微创脾部分切除术的发展现状与展望[J/OL]. 中华肝脏外科手术学电子杂志, 2026, 15(04): 545-550.

Zhongyu Li, Jinwen Yang, Yong Ma. Progress and prospect in minimally invasive partial splenectomy[J/OL]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2026, 15(04): 545-550.

脾脏是人体重要的免疫器官,随着外科技术的发展,脾部分切除术凭借能够保留脾脏功能的优势,逐渐成为脾脏良性疾病患者手术治疗的首选术式。腹腔镜脾部分切除术(LPS)凭借创伤小、疼痛轻、恢复快、能够保留脾脏功能等优势,成为目前脾脏良性疾病患者手术治疗的主流术式。随着近年来机器人辅助手术系统在医学领域应用的迅速发展,机器人辅助脾部分切除术(RPS)逐渐成为替代LPS的新选择。目前,微创脾部分切除术的适应证不断拓展,手术关键环节的处理不断精进,手术效果和安全性显著提高。随着人工智能(AI)、增强现实(AR)、3D打印等数智化和虚拟现实技术的融入,未来脾脏手术治疗也将向更加个性化、精准化、智能化的方向发展,进一步改善患者预后,提高生活质量。

Spleen is an important immune organ of human body. With the development of surgical technologies, partial splenectomy has gradually become the primary option for patients with benign spleen diseases due to its advantages of preserving spleen function. Laparoscopic partial splenectomy (LPS) has served as the mainstream surgical procedure for patients with benign spleen lesions due to mild trauma, slight pain, rapid recovery and preservation of spleen function, etc. Along with rapid development of robot-assisted surgery system in medical field in recent years, robot-assisted partial splenectomy (RPS) has gradually become a novel alternative to LPS. At present, the indications of minimally invasive partial splenectomy have been constantly expanded, the key surgical procedures have been continually modified, and surgical efficacy and safety have been significantly improved. With the integration of artificial intelligence (AI), augmented reality (AR), 3D printing and other digital intelligence and virtual reality technologies, spleen surgery will develop in a more individualized, precise and intelligent direction in the future, further improving clinical prognosis and quality of life of patients.

图1 脾脏切除边界的确定 注:a为术前三维重建;b为术中超声探查;c为术中缺血线;d为ICG染色区域迁移
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