SurgPub-Video: A Comprehensive Surgical Video Framework for Enhanced Surgical Intelligence in Vision-Language Model

Vision-Language Models (VLMs) have shown significant potential in surgical scene analysis, yet existing models are limited by frame-level datasets and lack high-quality video data with procedural surgical knowledge. To address these challenges, we make the following contributions: (i) SurgPub-Video, a comprehensive dataset of over 3,000 surgical videos and 25 million annotated frames across 11 specialties, sourced from peer-reviewed clinical journals, (ii) SurgLLaVA-Video, a specialized VLM for surgical video understanding, built upon the TinyLLaVA-Video architecture that supports both video-level and frame-level inputs, and (iii) a video-level surgical Visual Question Answering (VQA) benchmark, covering diverse 11 surgical specialities, such as vascular, cardiology, and thoracic. Extensive experiments, conducted on the proposed benchmark and three additional surgical downstream tasks (action recognition, skill assessment, and triplet recognition), show that SurgLLaVA-Video significantly outperforms both general-purpose and surgical-specific VLMs with only three billion parameters. The dataset, model, and benchmark will be released to enable further advancements in surgical video understanding.