The invention relates to a puncture stapler capable of arranging sutures in advance, and relates to the technical field of medical instruments. The puncture stapler capable of arranging sutures in advance comprises a puncture cannula device and a puncture device. The puncture cannula device comprises a shell cover, a connecting base, a cannula upper shell, a cannula lower shell, a sealing gasket upper pressing piece, a sealing gasket, a sealing gasket lower pressing piece, a rubber ring, a choke valve, a cannula, an air injection valve and a snap clip. The puncture device comprises a handle, a puncture shell cover, a baffle plate, a side wing locking block, a spring, a baffle block, a puncture tube, a push-pull rod, a guide connecting block, a side wing, a puncture cone, a wire pushing rod, a long pressure spring, a baffle ring, a fixed shaft, a puncture shell and a connecting pin. The puncture stapler can be used for laparoscopic abdominocentesis, and establishing channels for laparoscopy. According to the puncture stapler, a pre-knotting mode of sutures is provided, the sutures on the two sides of an incision can be pulled out of the cannula to be pre-knotted without affecting intraoperative procedures.