Surgical scene reconstruction from endoscopic video is crucial for many applications in computer- and robot-assisted surgery. However, existing methods primarily focus on soft tissue deformation while often neglecting the dynamic motion of surgical tools, limiting the completeness of the reconstructed scene. To bridge the aforementioned research gap, we propose T²GS, a novel and efficient surgical scene reconstruction framework that enables efficient spatio-temporal modelling of both deformable tissues and dynamically interacting surgical tools. T²GS leverages Gaussian Splatting for dynamic scene reconstruction, and it integrates a recent tissue deformation modelling technique while most importantly, introduces a novel efficient tool motion model (ETMM). At its core, ETMM disambiguates the modelling process of tool’s motion as global trajectory modelling and local shape-change modelling. We additionally propose pose-informed pointcloud fusion (PIPF), holistically initialized of tools’ gaussians for improved tool motion reconstruction. Extensive experiments on public datasets demonstrate T²GS’s superior performance for comprehensive endoscopic scene reconstruction compared to previous methods. Moreover, as we specifically design our method with efficiency in concern, T²GS also showcases promising reconstruction efficiency (3mins) and rendering speed (71fps), highlighting its potential for intraoperative applications. Our code is available at https://gitlab.com/nct_tso_public/ttgs.