An endoscopic instrument (1) comprising an elongate body with a distal end (4) designed to be introduced into the body of the patient so as to come into proximity with an internal organ, the distal end carrying a tool (7) for intervention on the internal organ, the endoscopic instrument comprising a foot (10, 110) rigidly connected to the distal end and extending from the distal end, the foot having a terminal end opposite to an end of the foot that connects the foot to the distal end of the elongate body, the foot designed to bear on the internal organ, and also controllable means of movement (13, 13′, 113) for conferring movements on the tool, at least in directions transverse to a longitudinal axis (X) of the distal end of the endoscopic instrument, when the foot is bearing against the internal organ, wherein the means of movement have at least one actuator (13, 13′, 113, 213), which is coupled to the tool and which is arranged entirely within the foot so as not to extend beyond the terminal end of the foot;
- wherein the actuator is contained within the foot at a location no more proximal than the distal most end of the elongated body of the endoscopic instrument;
- and
- wherein the tool is configured so as not to extend beyond the terminal end of the foot.