A medical introduction system, the system comprising: (a) an elongate trocar tube defining a trocar lumen; (b) an introduction component constructed and arranged to be positioned through the trocar lumen, the introduction component comprising: (i) an elongate introduction tube; (ii) a distal channel defined at a distal portion of the introduction tube; (iii) a proximal channel defined at a proximal portion of the introduction tube, wherein the proximal channel is disposed at substantially 180 degrees around the longitudinal axis of the introduction tube in relation to the distal channel; and (iv) an end effector operably coupled to a distal end of the introduction tube (c) a laparoscope constructed and arranged to be positioned through the trocar lumen with the introduction component, the laparoscope comprising: (i) an elongate laparoscope rod comprising distal and proximal ends (454A, 454B); (ii) a camera positioned at a proximal end of the elongate rod and further comprising a lens at the distal end of the laparoscope rod, wherein the laparoscope rod is constructed and arranged to deflect between a coaxial position and an axially deflected position in relation to the introduction tube such that the laparoscope rod extends out of the distal and proximal channels (450A, 450B) in the axially deflected position, and wherein the camera is constructed and arranged to rotate freely around a longitudinal axis of the laparoscope rod, whereby the lens can be oriented to capture a desired view; (d) an adjustable locking mechanism operationally integrated with the introduction component and laparoscope, wherein the adjustable locking mechanism is constructed and arranged to lock the laparoscope rod in the coaxial position or the axially deflected position; and (e) a handle tool configured to be positioned through a separate entry site, the handle tool comprising: (i) a control shaft configured to be coupleable to the end effector; and (ii) a handleset configured to be in operational communication with the end effector by way of the control shaft. (a) an elongate trocar tube defining a trocar lumen; (b) an introduction component constructed and arranged to be positioned through the trocar lumen, the introduction component comprising: (i) an elongate introduction tube; (ii) a distal channel defined at a distal portion of the introduction tube; (iii) a proximal channel defined at a proximal portion of the introduction tube, wherein the proximal channel is disposed at substantially 180 degrees around the longitudinal axis of the introduction tube in relation to the distal channel; and (iv) an end effector operably coupled to a distal end of the introduction tube (i) an elongate introduction tube; (ii) a distal channel defined at a distal portion of the introduction tube; (iii) a proximal channel defined at a proximal portion of the introduction tube, wherein the proximal channel is disposed at substantially 180 degrees around the longitudinal axis of the introduction tube in relation to the distal channel; and (iv) an end effector operably coupled to a distal end of the introduction tube (c) a laparoscope constructed and arranged to be positioned through the trocar lumen with the introduction component, the laparoscope comprising: (i) an elongate laparoscope rod comprising distal and proximal ends (454A, 454B); (ii) a camera positioned at a proximal end of the elongate rod and further comprising a lens at the distal end of the laparoscope rod, wherein the laparoscope rod is constructed and arranged to deflect between a coaxial position and an axially deflected position in relation to the introduction tube such that the laparoscope rod extends out of the distal and proximal channels (450A, 450B) in the axially deflected position, and wherein the camera is constructed and arranged to rotate freely around a longitudinal axis of the laparoscope rod, whereby the lens can be oriented to capture a desired view; (i) an elongate laparoscope rod comprising distal and proximal ends (454A, 454B); (ii) a camera positioned at a proximal end of the elongate rod and further comprising a lens at the distal end of the laparoscope rod, (d) an adjustable locking mechanism operationally integrated with the introduction component and laparoscope, wherein the adjustable locking mechanism is constructed and arranged to lock the laparoscope rod in the coaxial position or the axially deflected position; and (e) a handle tool configured to be positioned through a separate entry site, the handle tool comprising: (i) a control shaft configured to be coupleable to the end effector; and (ii) a handleset configured to be in operational communication with the end effector by way of the control shaft. (i) a control shaft configured to be coupleable to the end effector; and (ii) a handleset configured to be in operational communication with the end effector by way of the control shaft.