In computer-assisted surgery, automatically recognizing anatomical organs is crucial for understanding the surgical scene and providing intraoperative assistance. While machine learning models can identify such structures, their deployment is hindered by the need for labeled, diverse surgical datasets with anatomical annotations. Labeling multiple classes (i.e., organs) in a surgical scene is time-intensive, requiring medical experts. Although synthetically generated images can enhance segmentation performance, maintaining both organ structure and texture during generation is challenging. We introduce a multi-stage approach using diffusion models to generate multi-class surgical datasets with annotations. Our framework improves anatomy awareness by training organ specific models with an inpainting objective guided by binary segmentation masks. The organs are generated with an inference pipeline using pre-trained ControlNet to maintain the organ structure. The synthetic multi-class datasets are constructed through an image composition step, ensuring structural and textural consistency. This versatile approach allows the generation of multi-class datasets from real binary datasets and simulated surgical masks. We thoroughly evaluate the generated datasets on image quality and downstream segmentation, achieving a $15\%$ improvement in segmentation scores when combined with real images. The code is available at https://gitlab.com/nct_tso_public/muli-class-image-synthesis

The use of datasets is getting more relevance in surgical robotics since they can be used to recognise and automate tasks. Also, this allows to use common datasets to compare different algorithms and methods. The objective of this work is to provide a complete dataset of three common training surgical tasks that surgeons perform to improve their skills. For this purpose, 12 subjects teleoperated the da Vinci Research Kit to perform these tasks. The obtained dataset includes all the kinematics and dynamics information provided by the da Vinci robot (both master and slave side) together with the associated video from the camera. All the information has been carefully timestamped and provided in a readable csv format. A MATLAB interface integrated with ROS for using and replicating the data is also provided.