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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastrointest Surg. Oct 27, 2026; 18(10): 120304
Published online Oct 27, 2026. doi: 10.4240/wjgs.120304
Strengths and weaknesses analysis, individualized selection and future trends of surgical navigation protocols
Chao-Qian Chen, Zong-Xian Zhao
Chao-Qian Chen, Department of Anorectal Surgery, Fuyang People’s Hospital, Fuyang 236000, Anhui Province, China
Zong-Xian Zhao, Department of General Surgery, Fuyang People’s Hospital, Fuyang 236000, Anhui Province, China
Author contributions: Chen CC and Zhao ZX designed and wrote the manuscript.
AI contribution statement: We only use the Grammarly AI tool for language polishing. No AI tools were involved in the study design or result interpretation in this research. No images in the manuscript were generated by AI.
Supported by Anhui Provincial Health Commission, No. AHWJ2023Baa20164.
Conflict-of-interest statement: The authors declare that they have no competing interests.
Corresponding author: Zong-Xian Zhao, Department of General Surgery, Fuyang People’s Hospital, No. 501 Sanqing Road, Yingzhou District, Fuyang 236000, Anhui Province, China. 461901580@qq.com
Received: February 24, 2026
Revised: April 2, 2026
Accepted: May 19, 2026
Published online: October 27, 2026
Processing time: 236 Days and 15.1 Hours
Core Tip

Core Tip: Surgical advancement continuously pursues precision, minimal invasiveness, safety, and efficiency. Surgical navigation in general surgery has evolved from empirical navigation to single-modality imaging and further to multimodal integrated precision navigation. The combination of intraoperative ultrasound and indocyanine green fluorescence imaging demonstrated significant advantages with favorable safety and efficacy, as well as low application thresholds. Different navigation modalities have distinct advantages and limitations, supporting individualized selection based on disease and patient conditions. Future development will focus on artificial intelligence-assisted and next-generation digital navigation technologies to further improve surgical accuracy and safety, providing evidence for personalized and refined precision surgery.

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