OphBiWSSD: Scaling Temporal Action Localization in Ophthalmic Surgeries with Bidirectional Weight-tied State Space Duality

Online surgical phase recognition (SPR) underpins context-aware operating-room systems and requires committing to a prediction at every frame from past context alone. Surgical video poses three demands that natural-video recognizers do not jointly address: procedures span tens of thousands of frames, time flows non-uniformly as long routine stretches are punctuated by brief phase-defining transitions, and the visual domain is narrow so backbone features are strongly correlated across channels. Existing recognizers either let per-frame cost grow with elapsed length, or hold cost bounded but advance state at a uniform rate with channel-independent dynamics, leaving the latter two demands unaddressed. We present SurgicalMamba, a causal SPR model built on Mamba2's structured state-space duality (SSD) that holds per-frame cost at O(d). It introduces three SSD-compatible components that jointly address these demands: a dual-path SSD block that separates long- and short-term regimes at the level of recurrent state; intensity-modulated stepping, a continuous-time time-warp that adapts the slow path's effective rate to phase-relevant information; and state regramming, a per-chunk Cayley rotation that opens cross-channel mixing in the otherwise axis-aligned SSM recurrence. The learned rotation planes inherit a phase-aligned structure without any direct supervision, offering an interpretable internal signature of surgical workflow. Across seven public SPR benchmarks, SurgicalMamba reaches state-of-the-art accuracy and phase-level Jaccard under strict online evaluation: 94.6%/82.7% on Cholec80 (+0.7 pp/+2.2 pp over the strongest prior) and 89.5%/68.9% on AutoLaparo (+1.7 pp/+2.0 pp), at 238.74 fps on a single GPU. Ablations isolate the contribution of each component. The code is publicly available at https://github.com/sukjuoh/Surgical-Mamba.

Query-based segmentation methods have shown promising potential for surgical instrument segmentation and recognition, which is essential for scene understanding and downstream tasks in computer assisted surgery. However, most existing approaches predominantly rely on per-frame predictions and overlook cross-frame temporal priors as well as temporal-consistency constraints. This limitation often leads to unstable query representations and suboptimal category recognition. In this paper, we propose TEDi, a Temporal memory-Enhanced and Denoising transformer for surgical instrument segmentation that addresses these is sues through Memory Search Enhancement and Temporal Consistency Denoising. The former introduces a query-level memory bank and a memory search enhancement encoder to retrieve discriminative representations from historical frames, enriching current-frame features. The latter constructs a temporally consistent reference as a cross-frame semantic anchor to suppress temporally unstable predictions and promote semantic coherence across frames. Extensive experiments on two benchmark datasets, EndoVis 2017 and EndoVis 2018, demonstrate that TEDi consistently outperforms state-of-the-art methods, highlighting its potential to further advance computer-assisted surgery. Our code is available at github.com/argon-xixi/TEDi.

Spatio-temporal action detection in videos requires jointly localizing actors in space and identifying action boundaries over time. A common challenge is constructing temporally stable action tubes, as frame-level detectors often suffer from jitter, fragmentation, and imprecise temporal localization. Many recent approaches address this by introducing heavy spatio-temporal transformers or optical-flow-based pipelines, leading to high computational cost and limited scalability. We propose TubeLite, a lightweight framework for spatio-temporal action detection that focuses on stable tube construction and boundary-aware temporal modeling. TubeLite represents each actor as a tube, defined as a sequence of bounding boxes associated with a single actor over time, and explicitly enforces temporal consistency at both the spatial and semantic levels. The method combines low-jitter actor detection, Gaussian-weighted actor feature extraction, efficient short-term temporal propagation, and a boundary-focused temporal prediction head, while avoiding optical flow and large-scale temporal attention. Despite its compact design, TubeLite achieves strong video-level localization performance. It improves Video-mAP@0.5 by 4.5 and 7.1 percentage points over the best compared method on the MultiSports and UCF101-24 datasets, respectively, with substantially fewer parameters and floating-point operations than transformer-based alternatives, demonstrating that effective spatio-temporal action detection can be obtained through principled, lightweight temporal modeling.