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The Trinity Health Ann Arbor Colon and Rectal Surgery Residency emphasizes scholarly activity to include meritorious research. We are very active in American College of Surgeons National Surgical Quality Improvement Program (NSQIP) and Michigan Surgical Quality Collaborative (MSQC) database analysis projects, and American College of Surgeons Operative Standards book chapters and manuscripts, all of which have resulted in a presentation at regional and national meetings with the resultant publication. Institutional and multi-institutional comparative studies, as well as randomized controlled trials, are ongoing and also available for resident participation.

Recent Publications

  • Wu J, Cleary RK. ACS-NSQIP Outcomes Comparison of Open, Laparoscopic, and Robotic Abdominoperineal Resection for Rectal Cancer. J Robotic Surg 2018
  • Cleary RK, Morris AM, Chang GJ, Halverson AL. Controversies in Surgical Oncology: Does the minimally invasive approach for rectal cancer provide equivalent oncologic outcomes when compared to the open approach? Ann Surg Oncol 2018
  • Cleary RK, Kassir A, Johnson CS, Bastawrous AL, Soliman MK, Marx DS , Giordano L, Reidy TJ, Parra-Davila E, Obias VJ, Carmichael JC, Pollock D, Pigazzi A. Intracorporeal versus extracorporeal anastomosis for minimally invasive right colectomy: a multi-center propensity score-matched comparison of outcomes. Plos One 2018
  • Felling DR, Jackson M, Ferraro J, Battaglia MA, Albright J, Wu J, Genord CK, Brockhaus KK, Bhave RA, McClure AM, Shanker BA, Cleary RK. Liposomal Bupivacaine Transversus Abdominis Plane Block versus Epidural Analgesia in a Colon and Rectal Surgery Enhanced Recovery Pathway: A Randomized Clinical Trial. Dis Colon Rectum 2018
  • Batool F, Collins SD, Albright J, Ferraro J, Wu J, Krapohl G, Campbell DA, Cleary RK. A regional and national database comparison of colorectal outcomes. JSLS 2018
  • Albright J, Batool F, Cleary RK, Mullard AJ, Kreske E, Ferraro J, Regenbogen SE. Complications after Discharge Predict Readmission after Colorectal Surgery. Surg Endosc 2018
  • Akram WM, Al-Natour RH, Albright J, Wu J, Ferraro J, Shanker BA, McClure AM, Cleary RK. A propensity score-matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted right colectomy in an Enhanced Recovery Pathway. Am J Surg 2018 PMID 29937323
  • Cleary RK, Mullard AJ, Ferraro J, Regenbogen SE. The cost of conversion in robotic and laparoscopic colorectal surgery. Surg Endosc 2018;32:1515-1524 PMID 28916895
  • Disbrow D, Pannell S, Shanker BA, Albright J, Wu J, Bastawrous A, Soliman M, Ferraro J, Cleary RK. The impact of formal robotic residency training on the utilization of minimally invasive surgery by young colorectal surgeons. J Surg Educ 2018;75:767-778 PMID 29054345
  • Disbrow D, Seelbach CL, Albright J, Ferraro J, Wu J, Hain JM, Shanker BA, Cleary RK. Statin medications are associated with decreased risk of sepsis and anastomotic leaks after rectal resections. Am J Surg. 2018 Jan 31. pii: S0002-9610(17)31471-X. doi:10.1016/j.amjsurg.2018.01.024. [Epub ahead of print] PMID: 29428155
  • Lee YF, Albright J, Akram WM, Wu J, Ferraro J, Cleary RK. Unplanned robotic-assisted conversion to open colorectal surgery is associated with adverse outcomes. J Gastrointestinal Surg 2018;22:1059-1067 PMID 29450825
  • Bhama AR, Batool F, Collins S, Ferraro J, Cleary RK. Risk factors for postoperative complications following diverting loop ileostomy takedown. J Gastrointest Surg 2017;21:2048-2055
  • Mouawad NJ, Leichtle SW, Kaoutzanis C, Welch K, Winter S, Lampman R, McCord M, Hoskins KA, Cleary RK. Pain control with continuous infusion preperitoneal wound catheters versus continuous epidural analgesia in colon and rectal surgery: a randomized controlled trial. Am J Surg. 2017Jul 1. pii: S0002-9610(17)30207-6. doi: 10.1016/j.amjsurg.2017.06.031. [Epub ahead of print] PMID:28688514
  • Bhama AR, Wafa A, Collins S, Mullard AJ, Vandewarker JF, Krapohl G, Regenbogen SE, Byrn JC, Cleary RK. Comparison of risk factors for unplanned conversion from laparoscopic and robotic to open colorectal surgery using the Michigan Surgical Quality Collaborative (MSQC) database. J Gastrointestinal Surg 2016;20:1223-60 PMID 26847352
  • Martin TD, Lorenz T, Ferraro J, Chagin K, Lampman RM, Emery KL, Zurkan JE, Boyd JL, Montgomery K, Lang RE, Vandewarker JF, Cleary RK. Newly Implemented Enhanced Recovery Pathway Positively Impacts Hospital Length of Stay. Surg Endosc 2016; 30(9):4019-4028; DOI 10.1007/s00464-015-4714-8 PMID 26694181

Book Chapters

  • Colon and Rectal Robotic Surgery. In Essentials of Robotic Surgery, Spry Publishing, Eds. Sood M, Leichtle SW. 2013
  • Complications Unique to Robotic Surgery. In Robotic Approaches to Colorectal Surgery, Springer Publishing, Eds. Champagne, Lee, Rivadeneira, Ross. 2015
  • Completed and Ongoing Trials in Robotic Colorectal Surgery. In Robotic Colon and Rectal Surgery. Springer Publishing, Ed. Obias V. 2015
  • Bhama AR,Cleary RK. Robotic Low Anterior Resection, in: Operative Dictations in General and Vascular Surgery. Scott-Conner CEH. Springer 2016
  • Bhama AR,Cleary RK. Delorme Procedure, in: Operative Dictations in General and Vascular Surgery. Scott-Conner CEH. Springer 2016
  • Bhama AR,Cleary RK. Laparoscopic loop ostomy (ileostomy and colostomy), in: Operative Dictations in General and Vascular Surgery. Scott-Conner CEH. Springer 2016
  • Robotic Right Colectomy. In Minimally Invasive Surgical Techniques for Cancers of the Gastrointestinal Tract. Springer Publishing, Ed. Garcia-Aguilar J. 2017
  • Cleary RK, Johnson CS. Robotic Xi Right Hemicolectomy with Intracorporeal Anastomosis. In Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery, 2nd Edition. Springer Science, Ed. Bardakcioglu O. 2018
  • Cleary RK, Halverson AL, Morris AM. Abdominoperineal Resection. Operative Standards for Cancer Surgery. Presented by the American College of Surgeons Clinical Research Program and the Alliance for Clinical Trials in Oncology. Volume II 2019 American College of Surgeons.
  • Halverson AL, Morris AM, Cleary RK, Chang GJ. Local Excision. Operative Standards for Cancer Surgery. Presented by the American College of Surgeons Clinical Research Program and the Alliance for Clinical Trials in Oncology. Volume II 2019 American College of Surgeons.
  • Cleary RK, Halverson AL, Morris AM. Does the minimally invasive approach for rectal cancer provide equivalent oncologic outcomes when compared to the open approach? Operative Standards for Cancer Surgery. Presented by the American College of Surgeons Clinical Research Program and the Alliance for Clinical Trials in Oncology. Volume II 2019 American College of Surgeons.

Regional and National Presentations

  • Felling DR, Jackson M, Ferraro J, Battaglia MA, Albright J, Wu J, Genord CK, Brockhaus KK, Bhave RA, McClure AM, Shanker BA, Cleary RK. Liposomal Bupivacaine Transversus Abdominis Plane Block versus Epidural Analgesia in a Colon and Rectal Surgery Enhanced Recovery Pathway: A Randomized Clinical TrialWu J, Cleary RK. ACS-NSQIP Outcomes Comparison of Open, Laparoscopic, and Robotic Abdominoperineal Resection for Rectal Cancer. Podium presentation at the American Society of Colon and Rectal Surgeons Annual Meeting, Nashville, TN, May 21, 2018
  • Batool F, Collins SD, Albright J, Ferraro J, Wu J, Krapohl G, Campbell DA, Cleary RK. A regional and national database comparison of colorectal outcomes. Poster presentation at the American Society of Colon and Rectal Surgeons Annual Meeting, Nashville, TN, May 20, 2018
  • Cleary RK. Can Robotic Surgery Be Cost Effective? Essentials to Developing a Robotic Surgical Program. Podium presentation at the American Society of Colon and Rectal Surgeons Annual Meeting, Nashville, TN, May 20, 2018
  • Cleary RK. Major Studies in Colorectal Surgery: So Many Papers, So Little Time. Podium presentation at SAGES Annual Meeting, Seattle, WA, April 13, 2018
  • Cleary RK. Levering Technology to Reduce Readmissions. Podium presentation at the MSQC Enhanced Recovery Workshop, Troy, MI, July 27, 2017
  • Cleary RK. The Surgeon View of Perioperative Hyperglycemia on Colon and Rectal Surgery Outcomes. Podium presentation at the MSQC-ASPIRE Meeting, Schoolcraft College, Livonia, MI, April 28, 2017
  • Akram WM, Al-Natour RH, Albright J, Wu J, Ferraro J, Shanker BA, McClure AM, Cleary RK. A propensity score-matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted right colectomy in an Enhanced Recovery Pathway. Podium presentation at the Michigan Chapter of the American College of Surgeons meeting, Boyne Falls, MI, May 16-18, 2018
  • Cleary RK. Levering Technology to Reduce Readmissions. MSQC Enhanced Recovery Workshop, Troy, MI, July 27, 2017
  • Disbrow D, Seelbach C, Albright J, Ferraro J, Wu J, Hain JM, Shanker BA, Cleary RK. Statin medications are associated with decreased risk of sepsis and anastomotic leaks after colorectal surgery. Podium presentation at the American Society of Colon and Rectal Surgeons Meeting, Seattle, WA, June 2017
  •  Albright J, Batool F, Cleary RK, Kreske ED, Mullard AJ, Ferraro J, Regenbogen SE. Readmission Risk Stratification in Colorectal Surgery: A Conceptual Framework Approach to Mapping the Surgical Journey. Podium presentation at the American College of Surgeons 64th Clinical Congress. San Diego, CA. October 2017
  • Lee Y, Albright J, Akram W, Wu, J, Ferraro J, Cleary RK.  Unplanned robotic-assisted conversion to open colorectal surgery is associated with adverse outcomes. Presented at the annual American Society of Colon and Rectal Surgeons Meeting, Seattle, WA, June 2017
  • Bhama AR, Kaoutzanis C, Collins S, Mullard AJ, Vandewarker JF, Krapohl G, Regenbogen SE, Byrn JC, Cleary RK. Comparison of risk factors for unplanned conversion from laparoscopic and robotic to open colorectal surgery using the Michigan Surgical Quality Collaborative, presented at the annual American Society of Colon and Rectal Surgeons Meeting, Boston, MA, June 2, 2015
  • Schroeder C, Kaoutzanis C, Tocco-Bradley R, Obear J, Welch KB, Winter S, Cleary RK. Patients prefer propofol to midazolam plus fentanyl for conscious sedation for colonoscopy, podium presentation at the annual American Society of Colon and Rectal Surgeons Meeting, Boston, MA, June 2, 2015
  • Bhama AR, Obias V, Welch KB, Vandewarker JF, Cleary RK. A comparison of laparoscopic and robotic colorectal surgery outcomes using the American College of Surgeons – National Surgical Quality Improvement Program (ACS-NSQIP) database, presented at the Annual NSQIP Meeting, Chicago, IL, July, 2015
  • Kaoutzanis C, Mohan S, Welch KB, Vandewarker J, Winter S, Lampman RM, Cleary RK. Perioperative Blood Glucose Control and Postoperative Complications in Colorectal Surgery. 60th Clinical Meeting of the Frederick A. Coller Surgical Society Annual Meeting, Branson, Missouri. October 16-19, 2014.
  • Paulasir S, Kaoutzanis C, Welch KB, Vandewarker J, Winters S, Krapohl G, Lampman R, Cleary RK. The Effects of Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) on primary bowel anastomosis: Are they a risk for anastomotic leaks? 60th Clinical Meeting of the Frederick A. Coller Surgical Society Annual Meeting. Branson, Missouri. October 16-19,    2014.
  • Martin T, Brown B, Vandewarker J, Welch K, Lampman R, Hendren S, Regenbogen S, Cleary RK. Outcomes Following Implementation of an Enhanced Recovery Initiative for Open, Laparoscopic, and Robotic Colorectal Surgery. 60th Clinical Meeting of the Frederick A. Coller Surgical Society Annual Meeting. Branson, Missouri. October 16-19, 2014.
  • Tam MS, Kaoutzanis C, Mullard AJ, Welch KB, Kraphol G, Leichtle SW, Cleary RK, et. al. Conversion Rates Are Lower with Robotic than with Laparoscopic Colorectal Surgery, presented at the American Society of Colon and Rectal Surgeons Annual Meeting, Hollywood, FL, May 17-21, 2014
  • Kaoutzanis C, Leichtle SW, Tam MS, KB Welch, Hendren S, Cleary RK. Using ChloraPrep versus DuraPrep or Alcohol versus Non-alcohol Based Skin Preparations Does not Affect the Incidence of Surgical Site Infections after Colorectal Operations, presented at the American Society of Colon and Rectal Surgeons Annual Meeting, Hollywood, FL, May 17-21, 2014
  • Cleary RK. Incorporating Robotics into Resident and Fellow Training, presented at the American Society of Colon and rectal Surgeons Annual Meeting, Hollywood, FL, May 17- 21, 2014