CauCLIP: Bridging the Sim-to-Real Gap in Surgical Video Understanding via Causality-Inspired Vision-Language Modeling

Surgical phase recognition is a critical component for context-aware decision support in intelligent operating rooms, yet training robust models is hindered by limited annotated clinical videos and large domain gaps between synthetic and real surgical data. To address this, we propose CauCLIP, a causality-inspired vision-language framework that leverages CLIP to learn domain-invariant representations for surgical phase recognition without access to target domain data. Our approach integrates a frequency-based augmentation strategy to perturb domain-specific attributes while preserving semantic structures, and a causal suppression loss that mitigates non-causal biases and reinforces causal surgical features. These components are combined in a unified training framework that enables the model to focus on stable causal factors underlying surgical workflows. Experiments on the SurgVisDom hard adaptation benchmark demonstrate that our method substantially outperforms all competing approaches, highlighting the effectiveness of causality-guided vision-language models for domain-generalizable surgical video understanding.

GenPC: Zero-shot Point Cloud Completion via 3D Generative Priors

Existing point cloud completion methods, which typically depend on predefined synthetic training datasets, encounter significant challenges when applied to out-of-distribution, real-world scans. To overcome this limitation, we introduce a zero-shot completion framework, termed GenPC, designed to reconstruct high-quality real-world scans by leveraging explicit 3D generative priors. Our key insight is that recent feed-forward 3D generative models, trained on extensive internet-scale data, have demonstrated the ability to perform 3D generation from single-view images in a zero-shot setting. To harness this for completion, we first develop a Depth Prompting module that links partial point clouds with image-to-3D generative models by leveraging depth images as a stepping stone. To retain the original partial structure in the final results, we design the Geometric Preserving Fusion module that aligns the generated shape with input by adaptively adjusting its pose and scale. Extensive experiments on widely used benchmarks validate the superiority and generalizability of our approach, bringing us a step closer to robust real-world scan completion.