Diff2DGS: Reliable Reconstruction of Occluded Surgical Scenes via 2D Gaussian Splatting
arXiv:2602.18314v2 Announce Type: replace-cross Abstract: Real-time reconstruction of deformable surgical scenes is vital for advancing robotic surgery, improving intraoperative guidance, and enabling automation. Recent methods achieve dense reconstructions from da Vinci robotic surgery videos, with Gaussian Splatting (GS) offering real-time performance via graphics acceleration. However, reconstruction quality in occluded regions remains limited, and depth accuracy has not been fully assessed, as benchmarks like EndoNeRF and StereoMIS lack 3D ground truth. We propose Diff2DGS, a two-stage framework for reliable 3D reconstruction of occluded surgical scenes. First, a diffusion-based video module with temporal priors inpaints tissue occluded by instruments with high spatiotemporal consistency. Second, we adapt 2D Gaussian Splatting (2DGS) with a Learnable Deformation Model (LDM) to capture dynamic tissue deformation and anatomical geometry, and introduce adaptive depth weight to improve