The rectum is then closed at the elected site of resection using the Roticulator™ instrument that is easier to place, particularly deep in the male pelvis. The handles of the instrument are compressed and a double row of linear staples are placed. With the Roticulator™ instrument in place, a right angle clamp is applied to the specimen side and the lower rectum is transected using the superior edge of the stapler as a guide. The instrument is removed and the linear closure of the rectal stump is inspected. Proximally, the sigmoid colon can be prepared directly at the site of the elected resection with the Purstring™ instrument and transected along the instrument edge above a distal clamp.