Objective To set up a living mice colonoscopy platform to establish an orthotopic model of colorectal cancer in mice under direct vision, and to observe its biological behavior such as metastasis. Methods Eighteen-week-old male C57/BL mice were anesthetized, and the intestinal lumen of the mice was examined by a self-developed living mice colonoscopy and Olympus URF-P5 ureteroscopy, respectively. The imaging effects of the two methods were compared. Human colon cancer HT-29 cells were injected into the colonic mucosa of BALB/c-nu mice under direct vision. The colonoscopy was performed on the 3rd, 7th and 15th day after the injection to observe the tumor formation in the intestinal lumen. The mice were sacrificed when the body weight decreased significantly or cachexia appeared, and then the abdominal cavity was examined including the tumor formation and metastasis. Results The self-developed living mice colonoscopy platform can provide clear vision of enteric cavity, and no mice died in the colonoscopy examination. In vivo subcutaneous injection of HT-29 cells in mice was performed with a perforation rate of 15%, a mortality rate of 33.3%, a tumor formation rate of 62.5%, an abdominal metastasis rate of 60%, a liver metastasis rate of 25%, and an abdominal wall transfer rate of 25%. Conclusion The self-developed mice colonoscopy platform can be used for the study of colorectum in living mice. The imaging effect is no less than that of Olympus URF-P5 ureteroscopy. In addition, an orthotopic colorectal cancer model can be established by this platform combing with submucosal injection technology. Key words: Living mice colonoscopy; Submucosal injection; T stage; Tumor microenvironment; Orthotopic colorectal cancer model