With the increasing use of surgical robots in clinical practice, enhancing their ability to process multimodal medical images has become a key research challenge. Although traditional medical image fusion methods have made progress in improving fusion accuracy, they still face significant challenges in real-time performance, fine-grained feature extraction, and edge preservation.In this paper, we introduce TTTFusion, a Test-Time Training (TTT)-based image fusion strategy that dynamically adjusts model parameters during inference to efficiently fuse multimodal medical images. By adapting the model during the test phase, our method optimizes the parameters based on the input image data, leading to improved accuracy and better detail preservation in the fusion results.Experimental results demonstrate that TTTFusion significantly enhances the fusion quality of multimodal images compared to traditional fusion methods, particularly in fine-grained feature extraction and edge preservation. This approach not only improves image fusion accuracy but also offers a novel technical solution for real-time image processing in surgical robots.