This paper presents a synchronization-free, single-shot structured-light depth system for laparoscopic guidance. A passive LED-illuminated binary mask is paired with a dual-channel laparoscope, while a VQ-VAE provides discrete latent representations and a custom U-Net predicts depth directly without a separate mask branch. Using 722 paired phantom images with Zivid-referenced depth, the method reports 3.70 mm MAE, 0.0326 AbsRel, delta=1.1 accuracy of 0.962, and delta=1.1^2 accuracy of 0.970. It processed 301 consecutive frames at 26.0 Hz on an NVIDIA A100 GPU.
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