The invention relates to a head end mechanism and an
endoscope comprising the same. The head end mechanism has an
insertion direction, and includes: a lens whose
optical axis intersects the
insertion direction; the head end seat is connected to the lens, the head end seat comprises an instrument channel and a flushing channel which are arranged in the
insertion direction, a far-end water outlet of the flushing channel is located in the near side of the lens, in the cross section of the insertion direction, the head end mechanism is provided with a flat radial direction perpendicular to the insertion direction and the
optical axis, and the lens, the flushing channel and the instrument channel are sequentially arranged in the flat radial direction. The far-end water outlet is deflected to the lens relative to the instrument channel; the
forceps lifting device is located on the far side of the instrument channel, the
forceps lifting device can rotate relative to the head end base, and at least one part of the
forceps lifting device can protrude out of the lens along the
optical axis. According to the head end mechanism, a good view field is obtained, and meanwhile the situation that a lifted treatment instrument is obstructed with a flushing channel is well avoided.