A circular stapling device is described that is particularly suited for creating stomas. The circular stapling device includes two tool assemblies. The first tool assembly is adapted to create a reinforced incision in tissue, e.g., the rectus sheath, through which a vessel portion, e.g., colon, small intestine, etc. can be pulled through during a surgical procedure. The second tool assembly is adapted to attach a stomal sleeve within the vessel portion such that the stomal sleeve extends from the stoma.