The present invention relates to a needle-type endoscope, including a camera tube having an image capturing means accommodated therein; a needle covering the camera tube from the outside and having a sharp tip formed in a front end thereof to make an incision in a human body; and a handle, wherein a length of the camera tube is formed to be longer than a length of the needle. Accordingly, it is possible to provide a needle-like endoscope configured such that a camera tube for acquiring an image is disposed inside a needle for making an incision in the human body in such a manner as to be moved forward and backward in a sliding manner inside the needle, thereby excluding constituents such as a cannula or a sheath for providing an insertion path for an endoscope, and an incision instrument.