# Realistic Surgical Simulation from Monocular Videos

arXiv: https://arxiv.org/abs/2412.02359 · HTML: https://mlsanity.com/paper/2412.02359/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 35 of its 62 references that are in the map.
- First posted on arXiv 3 Dec 2024.

## Builds on (most cited first, 30 of 35)

- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [3D Gaussian Splatting for Real-Time Radiance Field Rendering](https://mlsanity.com/paper/2308.04079/) (2023)
- [DreamFusion: Text-to-3D using 2D Diffusion](https://mlsanity.com/paper/2209.14988/) (2022)
- [Stable Video Diffusion: Scaling Latent Video Diffusion Models to Large Datasets](https://mlsanity.com/paper/2311.15127/) (2023)
- [4D Gaussian Splatting for Real-Time Dynamic Scene Rendering](https://mlsanity.com/paper/2310.08528/) (2023)
- [K-Planes: Explicit Radiance Fields in Space, Time, and Appearance](https://mlsanity.com/paper/2301.10241/) (2023)
- [Dynamic 3D Gaussians: Tracking by Persistent Dynamic View Synthesis](https://mlsanity.com/paper/2308.09713/) (2023)
- [HexPlane: A Fast Representation for Dynamic Scenes](https://mlsanity.com/paper/2301.09632/) (2023)
- [Real-time Photorealistic Dynamic Scene Representation and Rendering with 4D Gaussian Splatting](https://mlsanity.com/paper/2310.10642/) (2023)
- [PhysGaussian: Physics-Integrated 3D Gaussians for Generative Dynamics](https://mlsanity.com/paper/2311.12198/) (2023)
- [Spacetime Gaussian Feature Splatting for Real-Time Dynamic View Synthesis](https://mlsanity.com/paper/2312.16812/) (2023)
- [PhysDreamer: Physics-Based Interaction with 3D Objects via Video Generation](https://mlsanity.com/paper/2404.13026/) (2024)
- [Neural Rendering for Stereo 3D Reconstruction of Deformable Tissues in Robotic Surgery](https://mlsanity.com/paper/2206.15255/) (2022)
- [Towards An End-to-End Framework for Flow-Guided Video Inpainting](https://mlsanity.com/paper/2204.02663/) (2022)
- [3D Geometry-aware Deformable Gaussian Splatting for Dynamic View Synthesis](https://mlsanity.com/paper/2404.06270/) (2024)
- [Physics3D: Learning Physical Properties of 3D Gaussians via Video Diffusion](https://mlsanity.com/paper/2406.04338/) (2024)
- [EndoSurf: Neural Surface Reconstruction of Deformable Tissues with Stereo Endoscope Videos](https://mlsanity.com/paper/2307.11307/) (2023)
- [4D Visualization of Dynamic Events from Unconstrained Multi-View Videos](https://mlsanity.com/paper/2005.13532/) (2020)
- [Dense Optical Tracking: Connecting the Dots](https://mlsanity.com/paper/2312.00786/) (2023)
- [Endora: Video Generation Models as Endoscopy Simulators](https://mlsanity.com/paper/2403.11050/) (2024)
- [Neural LerPlane Representations for Fast 4D Reconstruction of Deformable Tissues](https://mlsanity.com/paper/2305.19906/) (2023)
- [Endo-4DGS: Endoscopic Monocular Scene Reconstruction with 4D Gaussian Splatting](https://mlsanity.com/paper/2401.16416/) (2024)
- [Deform3DGS: Flexible Deformation for Fast Surgical Scene Reconstruction with Gaussian Splatting](https://mlsanity.com/paper/2405.17835/) (2024)
- [EndoGS: Deformable Endoscopic Tissues Reconstruction with Gaussian Splatting](https://mlsanity.com/paper/2401.11535/) (2024)
- [EndoGSLAM: Real-Time Dense Reconstruction and Tracking in Endoscopic Surgeries using Gaussian Splatting](https://mlsanity.com/paper/2403.15124/) (2024)
- [Neural Stress Fields for Reduced-order Elastoplasticity and Fracture](https://mlsanity.com/paper/2310.17790/) (2023)
- [Demonstration-Guided Reinforcement Learning with Efficient Exploration for Task Automation of Surgical Robot](https://mlsanity.com/paper/2302.09772/) (2023)
- [Efficient Deformable Tissue Reconstruction via Orthogonal Neural Plane](https://mlsanity.com/paper/2312.15253/) (2023)
- [SurGen: Text-Guided Diffusion Model for Surgical Video Generation](https://mlsanity.com/paper/2408.14028/) (2024)
- [Bora: Biomedical Generalist Video Generation Model](https://mlsanity.com/paper/2407.08944/) (2024)

## Built on by (most cited first, 2 of 2)

- [Generative Physical AI in Vision: A Survey](https://mlsanity.com/paper/2501.10928/) (2025)
- [Hierarchical Curriculum Learning for Surgical Video Generation: Focusing on Bilateral Axillo-Breast Approach Robotic Thyroidectomy Datasets](https://mlsanity.com/paper/2610.17684/) (2026)

## Abstract (arXiv)

This paper tackles the challenge of automatically performing realistic surgical simulations from readily available surgical videos. Recent efforts have successfully integrated physically grounded dynamics within 3D Gaussians to perform high-fidelity simulations in well-reconstructed simulation environments from static scenes. However, they struggle with the geometric inconsistency in reconstructing simulation environments and unrealistic physical deformations in simulations of soft tissues when it comes to dynamic and complex surgical processes. In this paper, we propose SurgiSim, a novel automatic simulation system to overcome these limitations. To build a surgical simulation environment, we maintain a canonical 3D scene composed of 3D Gaussians coupled with a deformation field to represent a dynamic surgical scene. This process involves a multi-stage optimization with trajectory and anisotropic regularization, enhancing the geometry consistency of the canonical scene, which serves as the simulation environment. To achieve realistic physical simulations in this environment, we implement a Visco-Elastic deformation model based on the Maxwell model, effectively restoring the complex deformations of tissues. Additionally, we infer the physical parameters of tissues by minimizing the discrepancies between the input video and simulation results guided by estimated tissue motion, ensuring realistic simulation outcomes. Experiments on various surgical scenarios and interactions demonstrate SurgiSim's ability to perform realistic simulation of soft tissues among surgical procedures, showing its enormous potential for enhancing surgical training, planning, and robotic surgery systems. The project page is at https://namaenashibot.github.io/SurgiSim/.