Laparoscopic instrumentation: Linear cutters, clip appliers, and staplers

Some of the most common forms of instrumentation and technology used laparoscopically include linear cutters, clip appliers, and staplers. The clip applier was the instrument that finally allowed the surgeon to be able to perform laparoscopic cholecystectomies. Staplers were developed quickly thereafter for tacking tissue together or for applying mesh for hernia repairs. Linear cutters became much more useful when the laparoscopic procedures became more advanced, and their application continues to expand. This report reviews the technology regarding these instruments and discusses clip appliers, linear cutter-staplers, and hernia staplers, which are currently available on the market. However, it should be noted that there remains a lack of peer-reviewed literature regarding the efficiency, efficacy, and cost of these instruments compared with that of laparoscopic suturing and knot tying.