磁外科技术在肝胆胰外科创新应用与前景展望
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西安交通大学第一附属医院 肝胆外科/精准外科与再生医学国家地方联合工程研究中心/陕西省再生医学与外科工程研究中心,陕西 西安 710061

作者简介:

吕毅,西安交通大学第一附属医院主任医师,主要从事医工结合外科技术创新及医疗设备研发、新型生物材料应用、终末期肝病肝脏移植和肝胆胰肿瘤以手术为主的综合治疗、现代医学教育方面的研究。

基金项目:

国家自然科学基金资助项目(92048202)。


Magnetic surgery in hepatopancreatobiliary surgery: innovative applications and future perspectives
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Department of Hepatobiliary Surgery, the First Affiliated Hospital of Xi'an Jiaotong University, National and Local Joint Engineering Research Center for Precision Surgery and Regenerative Medicine, Shaanxi Engineering Research Center for Regenerative Medicine and Surgery, Xi'an 710061, China

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    摘要:

    “磁”具有“力”和“场”的特性,可实现“非接触”作用。肝胆胰外科是手术技术不断创新的学科。2015年,笔者团队率先提出“磁外科”概念,并通过举办国际磁外科大会、创办期刊及编撰教材等工作,推动其从技术探索发展为学科体系。许多创新始于肝胆胰外科实践:磁力胆肠、胰肠吻合及胆管狭窄再通技术显著改善传统手术方式;肝脏大血管磁力吻合实现了供肝快速植入,促进了腹腔镜肝脏移植的开展;磁场锚定技术实现了多维度牵引暴露,减少Trocar孔及损伤,优化了腹腔镜操作。未来,磁外科将在多学科交叉推动下持续发展,融合磁场导航与微纳手术机器人,实现体内器械的精准追踪与引导,突破影像引导的局限,在肿瘤消融、管道穿刺等方面展现广阔前景。这将推动磁外科向精准化、微创化、智能化迈进,为肝胆外科乃至更广领域带来革新方案。

    Abstract:

    Magnetism possesses both "force" and "field" properties, enabling non-contact interactions. Hepatopancreatobiliary (HPB) surgery is a field characterized by continuous innovation. In 2015, our team first proposed the concept of "magnetic surgery," and subsequently advanced it from technical exploration to a disciplinary framework through organizing international conferences, founding a dedicated journal, and compiling textbooks. Many innovations originated in HPB practice: magnetic biliary and pancreatic anastomosis and magnetic recanalization for biliary strictures have significantly improved traditional approaches; magnetic vascular anastomosis has enabled rapid implantation of donor livers, supporting laparoscopic liver transplantation; and magnetic anchoring has provided multidimensional traction and exposure while reducing Trocar use and associated damage, thereby optimizing laparoscopic procedures. Looking ahead, multidisciplinary integration will drive the continued evolution of magnetic surgery, such as combining magnetic navigation with micro-nano surgical robots to achieve real-time tracking and guidance inside the body. These advances may overcome the limitations of conventional image guidance in applications like tumor ablation and catheter puncture. Ultimately, magnetic surgery is expected to evolve toward greater precision, minimal invasiveness, and intelligence, offering transformative solutions for HPB surgery and beyond.

    图1 磁力吻合技术示意图Fig.1 Schematic diagram of magnetic compression anastomosis technique
    图2 磁辅助门静脉吻合术Fig.2 Magnetic-assisted portal vein anastomosis
    图3 磁力再通技术示意图Fig.3 Schematic diagram of magnetic recanalization technique
    图4 磁场锚定装置及其在腹腔镜袖状胃切除术中应用Fig.4 Magnetic anchoring device and its application in laparoscopic sleeve gastrectomy
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吕毅,马凯,刘龙.磁外科技术在肝胆胰外科创新应用与前景展望[J].中国普通外科杂志,2025,34(8):1633-1639.
DOI:10.7659/j. issn.1005-6947.250453

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  • 收稿日期:2025-08-18
  • 最后修改日期:2025-08-24
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  • 在线发布日期: 2025-10-11