Abstract: A method and apparatus for removing a circumferential portion of a hollow body organ from a patient with a circular stapling instrument. The instrument is provided with a vacuum tubing in communication with an inner chamber within the head assembly of the stapler. A negative pressure is drawn through the tubes and hemorrhoidal tissue is drawn into the inner chamber. An anvil member is closed around the hemorrhoidal tissue thereby pinching the drawn tissue between the anvil and the head assembly housing. The stapler is fired and the hemorrhoid is transected and retained within the inner chamber. The evacuation is shut off and the stapler is removed with the transected tissue.