A surgical instrument includes a proximal end and a distal end, a first linking member coupled to a user interface positioned near the proximal end, a second linking member coupled to a clamp tool positioned near the distal end, an elongate shaft extending between the first and second linking members, and at least one cable set extending through the elongate shaft and coupling the first and second linking members such that movement of the first linking member causes corresponding movement in the second linking member. The user interface includes a handle having a first part connected to the first linking member, a second part pivotably connected to the first part, and a rotational element connected to the handle. The first linking member includes a first articulating portion and the second linking member includes a second articulating portion including a plurality of discrete links defining a plurality of lumens.