提升手术视频指代分割的准确性，通过可靠性引导锚点定位

Referring surgical video segmentation requires segmenting a target instrument or tissue region across video frames according to a natural language expression. Recent Segment Anything Model 2 (SAM2) based two-stage methods (e.g., ReSurgSAM2) first ground the referred target in an initial or selected frame, then propagate the selected mask via tracking. Although effective, their performance is highly sensitive to the quality of the initial grounded mask: once an incorrect anchor is selected, subsequent tracking tends to propagate the error. This issue is especially challenging in surgical videos due to visually similar instruments, occlusion, and complex tissue-tool interactions. To address this issue, we propose ReGround-Surg, a lightweight reliability-guided anchor grounding framework to improve SAM2-based referring surgical video segmentation. It first predicts a text-conditioned spatial reliability map from the referring expression and current-frame visual features. The map is then reused in two complementary branches: a Gated Side Adapter enhances expression-relevant visual regions before text-to-vision fusion, while a Reliability-Weighted Vision-to-Text Attention module suppresses off-target visual evidence during prompt-token aggregation. Experiments on Ref-EndoVis17 and Ref-EndoVis18 show consistent improvements over state-of-the-art methods across three evaluation splits with negligible speed reduction. Code is publicly available at https://github.com/JiaxinWen1/ReGround-Surg.