Abstract: Highlights•A novel multi-scale attention residual network for vital organ segmentation before minimally invasive surgery.•Hierarchical residual connections enhance the model’s perceptual ability in multi-scale refinement of feature representations.•Attention mechanisms and cross-scale residual connections enhance segmentation at object boundaries by aggregating features.•The MSAR Network excels in organ segmentation for parathyroid ablation and atlantoaxial dislocation screw implantation surgeries.
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