Camera handpiece (1) for medical use, comprising at least a lighting system (13a, 13b, 18), at least an optical window (12a, 12b), a fixed part (9) in its turn comprising an optical system (2) for acquiring images through an optical window (12a, 12b), an image sensor (3), electronic circuits (4) for image processing, optionally a prism (7),characterized in thatit has an external part (5) mobile with respect to the internal fixed part (9), rotatably commutable between at least two different working positions having different optical or lighting features, freely selectable by an operator.In a particular embodiment, the lighting system (18) for lighting the framed field is positioned in the internal fixed part (9) of camera handpiece (1) the mobile distal part (5), non comprising electronic parts, can be sterilized in an autoclave.
