Gaofeng Li

Zexin Deng, Zhenhui Yuan, Tian Lu et al.

Real-time video streaming is crucial in surgical teleoperation, yet reproducible evaluation under realistic network impairments remains limited. This paper presents VISTA, a benchmark designed to study how impairments along the forward video path affect received video quality, temporal continuity, and human task performance. VISTA employs Linux Traffic Control with NetEm and a Gilbert-Elliott loss model to emulate five network conditions: Hospital LAN, 5G Urban, 4G Rural, LEO Satellite, and GEO Satellite. The benchmark integrates a standardised peg transfer task with synchronized measurements of network quality of service (QoS), objective video quality (PSNR, SSIM, and VMAF), and temporal continuity through freeze rate, while maintaining a stable reverse control channel. Across 375 experimental trials, network degradation substantially reduced teleoperation performance: success rate decreased from 97% in Hospital LAN to 79% in 5G Urban, 35% in 4G Rural, 71% in LEO Satellite, and 12% in GEO Satellite, while mean task completion time for successful trials increased from 80 s in Hospital LAN to 117 s in 5G Urban, 211 s in 4G Rural, 152 s in LEO Satellite, and 255 s in GEO Satellite. These findings show that network impairments have a direct impact on task completion and success in surgical teleoperation, and provide a reproducible basis for evaluating teleoperation video under realistic network constraints. Source code available at https://github.com/Dzxx623/VISTA.

Keyu Zhou, Peisen Xu, Yahao Wu et al.

Autonomous laparoscopic camera control must maintain a stable and safe surgical view under rapid tool-tissue interactions while remaining interpretable to surgeons. We present a strategy-grounded framework that couples high-level vision-language inference with low-level closed-loop control. Offline, raw surgical videos are parsed into camera-relevant temporal events (e.g., interaction, working-distance deviation, and view-quality degradation) and structured as attributed event graphs. Mining these graphs yields a compact set of reusable camera-handling strategy primitives, which provide structured supervision for learning. Online, a fine-tuned Vision-Language Model (VLM) processes the live laparoscopic view to predict the dominant strategy and discrete image-based motion commands, executed by an IBVS-RCM controller under strict safety constraints; optional speech input enables intuitive human-in-the-loop conditioning. On a surgeon-annotated dataset, event parsing achieves reliable temporal localization (F1-score 0.86), and the mined strategies show strong semantic alignment with expert interpretation (cluster purity 0.81). Extensive ex vivo experiments on silicone phantoms and porcine tissues demonstrate that the proposed system outperforms junior surgeons in standardized camera-handling evaluations, reducing field-of-view centering error by 35.26% and image shaking by 62.33%, while preserving smooth motion and stable working-distance regulation.