Hungarian Hultl and Fisher firstly introduced gastric stapler in gastrectomy in 1908. Japanese Nakayam further improved the above stapler in 1950. Moscow experimental surgical instrumental institute in the former Soviet Union developed PKS tubular stapler and tested in clinical trial in 1960. American introduced  new generation of disposable stapler in the early 80s last century, whose design and function were both improved than before. China developed reusable stainless steel stapler in 1980s. With the development of economy and clinical surgical condition, China has also developed disposable stapler one after another and applied them in clinic.

Staplers in open surgery are usually divided into tubular stapler (curved intraluminal stapler, digestive tract stapler), linear cutter stapler (side to side stapler), stump closure device (linear stapler), skin stapler and purse string stapler. Tubular stapler is mainly applied in end to end or end to side stapling in esophagus, stomach, intestine or between each other. Side to side stapler is mainly applied in side to side stapling in lung tissues and gastrointestinal tracts. Stump closure device is mainly applied stump closure of tissue stoma. The working mode of stapler is similar as stapling machine binding sheets. In detail, two rows of metal staples staple adjacent tissues or intestinal walls, anastomotic site forms by circular or linear incision along the inside edge of staples.

The innovation by mechanical sutures and staplers to operation especially general surgery, improved the medical science to a new high lever. And it finally pushed the minimally invasive and the Laparoscopic technology to front of the people of the world. The new age has becoming¡­¡­