# Monocular Endoscopic Tissue 3D Reconstruction with Multi-Level Geometry Regularization

arXiv: https://arxiv.org/abs/2602.20718 · HTML: https://mlsanity.com/paper/2602.20718/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 24 of its 36 references that are in the map.
- First posted on arXiv 24 Feb 2026.

## Builds on (most cited first, 24 of 24)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [3D Gaussian Splatting for Real-Time Radiance Field Rendering](https://mlsanity.com/paper/2308.04079/) (2023)
- [Dynamic 3D Gaussians: Tracking by Persistent Dynamic View Synthesis](https://mlsanity.com/paper/2308.09713/) (2023)
- [SC-GS: Sparse-Controlled Gaussian Splatting for Editable Dynamic Scenes](https://mlsanity.com/paper/2312.14937/) (2023)
- [NeuS2: Fast Learning of Neural Implicit Surfaces for Multi-view Reconstruction](https://mlsanity.com/paper/2212.05231/) (2022)
- [FSGS: Real-Time Few-shot View Synthesis using Gaussian Splatting](https://mlsanity.com/paper/2312.00451/) (2023)
- [Depth-Regularized Optimization for 3D Gaussian Splatting in Few-Shot Images](https://mlsanity.com/paper/2311.13398/) (2023)
- [Neural Rendering for Stereo 3D Reconstruction of Deformable Tissues in Robotic Surgery](https://mlsanity.com/paper/2206.15255/) (2022)
- [Stereo Correspondence and Reconstruction of Endoscopic Data Challenge](https://mlsanity.com/paper/2101.01133/) (2021)
- [EndoSurf: Neural Surface Reconstruction of Deformable Tissues with Stereo Endoscope Videos](https://mlsanity.com/paper/2307.11307/) (2023)
- [Endora: Video Generation Models as Endoscopy Simulators](https://mlsanity.com/paper/2403.11050/) (2024)
- [SuPer: A Surgical Perception Framework for Endoscopic Tissue Manipulation with Surgical Robotics](https://mlsanity.com/paper/1909.05405/) (2019)
- [E-DSSR: Efficient Dynamic Surgical Scene Reconstruction with Transformer-based Stereoscopic Depth Perception](https://mlsanity.com/paper/2107.00229/) (2021)
- [Neural LerPlane Representations for Fast 4D Reconstruction of Deformable Tissues](https://mlsanity.com/paper/2305.19906/) (2023)
- [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)
- [Mesh-based Gaussian Splatting for Real-time Large-scale Deformation](https://mlsanity.com/paper/2402.04796/) (2024)
- [Dynamic Reconstruction of Deformable Soft-tissue with Stereo Scope in Minimal Invasive Surgery](https://mlsanity.com/paper/2003.10867/) (2020)
- [EndoGaussian: Real-time Gaussian Splatting for Dynamic Endoscopic Scene Reconstruction](https://mlsanity.com/paper/2401.12561/) (2024)
- [LGS: A Light-weight 4D Gaussian Splatting for Efficient Surgical Scene Reconstruction](https://mlsanity.com/paper/2406.16073/) (2024)
- [Real-time Dense Reconstruction of Tissue Surface from Stereo Optical Video](https://mlsanity.com/paper/2007.12623/) (2020)
- [EndoSparse: Real-Time Sparse View Synthesis of Endoscopic Scenes using Gaussian Splatting](https://mlsanity.com/paper/2407.01029/) (2024)
- [BASED: Bundle-Adjusting Surgical Endoscopic Dynamic Video Reconstruction using Neural Radiance Fields](https://mlsanity.com/paper/2309.15329/) (2023)
- [FLex: Joint Pose and Dynamic Radiance Fields Optimization for Stereo Endoscopic Videos](https://mlsanity.com/paper/2403.12198/) (2024)

## Abstract (arXiv)

Reconstructing deformable endoscopic tissues is crucial for achieving robot-assisted surgery. However, 3D Gaussian Splatting-based approaches encounter challenges in achieving consistent tissue surface reconstruction, while existing NeRF-based methods lack real-time rendering capabilities. In pursuit of both smooth deformable surfaces and real-time rendering, we introduce a novel approach based on 3D Gaussian Splatting. Specifically, we introduce surface-aware reconstruction, initially employing a Sign Distance Field-based method to construct a mesh, subsequently utilizing this mesh to constrain the Gaussian Splatting reconstruction process. Furthermore, to ensure the generation of physically plausible deformations, we incorporate local rigidity and global non-rigidity restrictions to guide Gaussian deformation, tailored for the highly deformable nature of soft endoscopic tissue. Based on 3D Gaussian Splatting, our proposed method delivers a fast rendering process and smooth surface appearances. Quantitative and qualitative analysis against alternative methodologies shows that our approach achieves solid reconstruction quality in both textures and geometries.