# SurgiATM: A Physics-Guided Plug-and-Play Model for Deep Learning-Based Smoke Removal in Laparoscopic Surgery

arXiv: https://arxiv.org/abs/2511.05059 · HTML: https://mlsanity.com/paper/2511.05059/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 36 of its 107 references that are in the map.
- First posted on arXiv 7 Nov 2025.

## Builds on (most cited first, 30 of 36)

- [Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2006.11239/) (2020)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [Denoising Diffusion Implicit Models](https://mlsanity.com/paper/2010.02502/) (2020)
- [Generative Adversarial Networks](https://mlsanity.com/paper/2203.00667/) (2022)
- [Conditional Generative Adversarial Nets](https://mlsanity.com/paper/1411.1784/) (2014)
- [EndoNet: A Deep Architecture for Recognition Tasks on Laparoscopic Videos](https://mlsanity.com/paper/1602.03012/) (2016)
- [DehazeNet: An End-to-End System for Single Image Haze Removal](https://mlsanity.com/paper/1601.07661/) (2016)
- [FFA-Net: Feature Fusion Attention Network for Single Image Dehazing](https://mlsanity.com/paper/1911.07559/) (2019)
- [Multi-Scale Boosted Dehazing Network with Dense Feature Fusion](https://mlsanity.com/paper/2004.13388/) (2020)
- [Surgical Data Science: Enabling Next-Generation Surgery](https://mlsanity.com/paper/1701.06482/) (2017)
- [CholecSeg8k: A Semantic Segmentation Dataset for Laparoscopic Cholecystectomy Based on Cholec80](https://mlsanity.com/paper/2012.12453/) (2020)
- [Surgical Data Science -- from Concepts toward Clinical Translation](https://mlsanity.com/paper/2011.02284/) (2020)
- [SurgicalSAM: Efficient Class Promptable Surgical Instrument Segmentation](https://mlsanity.com/paper/2308.08746/) (2023)
- [O-HAZE: a dehazing benchmark with real hazy and haze-free outdoor images](https://mlsanity.com/paper/1804.05101/) (2018)
- [Gated Context Aggregation Network for Image Dehazing and Deraining](https://mlsanity.com/paper/1811.08747/) (2018)
- [Comparative Validation of Machine Learning Algorithms for Surgical Workflow and Skill Analysis with the HeiChole Benchmark](https://mlsanity.com/paper/2109.14956/) (2021)
- [EndoMapper dataset of complete calibrated endoscopy procedures](https://mlsanity.com/paper/2204.14240/) (2022)
- [Dissecting Self-Supervised Learning Methods for Surgical Computer Vision](https://mlsanity.com/paper/2207.00449/) (2022)
- [Self-Supervised Siamese Learning on Stereo Image Pairs for Depth Estimation in Robotic Surgery](https://mlsanity.com/paper/1705.08260/) (2017)
- [Surgformer: Surgical Transformer with Hierarchical Temporal Attention for Surgical Phase Recognition](https://mlsanity.com/paper/2408.03867/) (2024)
- [Learning Hazing to Dehazing: Towards Realistic Haze Generation for Real-World Image Dehazing](https://mlsanity.com/paper/2503.19262/) (2025)
- [SimCol3D -- 3D Reconstruction during Colonoscopy Challenge](https://mlsanity.com/paper/2307.11261/) (2023)
- [LightDepth: Single-View Depth Self-Supervision from Illumination Decline](https://mlsanity.com/paper/2308.10525/) (2023)
- [SurgT challenge: Benchmark of Soft-Tissue Trackers for Robotic Surgery](https://mlsanity.com/paper/2302.03022/) (2023)
- [Self-Supervised Video Desmoking for Laparoscopic Surgery](https://mlsanity.com/paper/2403.11192/) (2024)
- [Desmoking laparoscopy surgery images using an image-to-image translation guided by an embedded dark channel](https://mlsanity.com/paper/2004.08947/) (2020)
- [Deep Laparoscopic Stereo Matching with Transformers](https://mlsanity.com/paper/2207.12152/) (2022)
- [Comparative validation of surgical phase recognition, instrument keypoint estimation, and instrument instance segmentation in endoscopy: Results of the PhaKIR 2024 challenge](https://mlsanity.com/paper/2507.16559/) (2025)
- [Generative Smoke Removal](https://mlsanity.com/paper/1902.00311/) (2019)

## Abstract (arXiv)

During laparoscopic surgery, smoke generated by tissue cauterization can significantly degrade the visual quality of endoscopic frames, increasing the risk of surgical errors and hindering both clinical decision-making and computer-assisted visual analysis. Consequently, removing surgical smoke is critical to ensuring patient safety and maintaining operative efficiency. In this study, we propose the Surgical Atmospheric Model (SurgiATM) for surgical smoke removal. SurgiATM statistically bridges a physics-based atmospheric model and data-driven deep learning models, combining the superior generalizability of the former with the high accuracy of the latter. Furthermore, SurgiATM is designed as a lightweight module that can be easily integrated into existing surgical desmoking architectures with minimal modification, aiming to enhance their accuracy and stability. The proposed method is derived via statistically optimizing a Mixture-of-Experts (MoE) model at the output end of arbitrary deep learning methods, with a Laplacian-like error distribution specifically leveraged to model surgical smoke. The output-stage MoE ensures minimal modification to the architecture of the original methods, while the Laplacian-like distribution characteristic of surgical smoke enables a lightweight reconstruction formulation with minimal parameters. Therefore, SurgiATM introduces only two hyperparameters and no additional trainable weights, preserving the original network architecture with minimal computational and modification overhead. We conduct extensive experiments on three public surgical datasets with ten desmoking methods, involving multiple network architectures and covering diverse procedures, including cholecystectomy, partial nephrectomy, and diaphragm dissection.