RoboSurg-VQA: A Multimodal Benchmark for Surgical Segmentation-Aware Visual Question Answering

Abstract

Reliable visual understanding in robot-assisted and minimally invasive surgery (RMIS/MIS) demands more than accurate masks: in clinical practice, clinicians pose language-like questions about procedural context, visibility, artefacts, and the presence of anatomical structures and surgical instruments, often under degraded views caused by occlusion, smoke, bleeding, and specular highlights. We present \textbf{RoboSurg-VQA}, a segmentation-aware visual question answering (VQA) benchmark built by repurposing public surgical segmentation datasets under a shared schema. Each frame is paired with a fixed set of clinically motivated questions spanning procedure context, anatomy (including region), imaging modality/view, surgical artefacts, image quality, and basic visibility and spatial attributes, with closed answer sets to enable consistent evaluation. To scale annotation, we generate candidate answers via constrained prompting with automatic validity and consistency checks, followed by human auditing to improve plausibility and label consistency. We report benchmark statistics, sanity baselines, and common evaluation challenges under challenging surgical conditions. The code will be available on https://github.com/ziyangwang007/Robosurg-VQA.