Abstract: Device for inserting a cannula into a duct. The device includes a housing having a handle and a distal end, the distal end being insertable through a laparoscopic trocar. Attached to the distal end is a duct alignment mechanism and a pivotable endoscope. The endoscope has a visualization capability and a cannula introduction channel and is pivotable between a retracted position in which the terminal end is generally parallel to the distal end of the housing and an extended position in which the terminal end is positioned such that a cannula extended from the cannula introduction channel is generally coaxial with a duct aligned by the duct alignment mechanism.