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Research

The Trinity Health Ann Arbor Colon and Rectal Surgery Residency emphasizes scholarly activity to include meritorious research. We are very active in 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 and all had led to publication. Institutional and multi-institutional comparative studies, as well as randomized controlled trials, are ongoing and also available for resident participation.

Recent Publications

  • Kamara M, Baur K, Langmeyer J, Huebner M, Ramm C, Cleary RK. Early discharge after enhanced recovery rectal resection does not increase emergency department visits and readmissions: A single institution analysis. Surg Endosc 2024;38:4251-4259 PMID 38862825
  • Baur K, Sood EM, Huebner M, Ramm C, Kolli N, Cleary RK. Early discharge after enhanced recovery colectomy does not increase emergency department visits and readmission: A single institution analysis. Am Surg 2024;90:1439-1446 PMID: 38520237
  • Cairl N, Kamara M, Chang M. Open Deloyers Procedure. Dis Colon Rectum 2024
  • Brewer J, Kamara M, Huebner M, Taxakis E, Grajewski K, Ramm C, Cleary RK. Operative trends following the adoption of nonoperative management of rectal cancer. J Surg Oncol 2024; 129:1139-1149 PMID: 38406980
  • Diaz S, Brockhaus KK, Bobel MC, Colom SM, Ramm C, Cleary RK. Pain and opioid use after colorectal resect ion for benign versus malignant disease: A single institution analysis. Am J Surg 2024;232:131-137 PMID 38365550
  • Stapler SJ, Colom SM, Rajkumar D, Cleary RK. Early urinary catheter removal after colectomy for colovesical fistula is not associated with increased postoperative complications. Am Surg 2023;89:6091-6097 PMID 37482697
  • Bobel MC, Cleary RK. How should risk be communicated to patients when developing resident surgeon robotic skills? AMA Journal of Ethics 2023;25:E583-588
  • Kaarto P, Westfall KM, Brockhaus K, Paulus AL, Albright J, Ramm C, Cleary RK. Alvimopan is associated with favorable outcomes in open and minimally invasive colorectal surgery: a regional database analysis. Surg Endosc 2023;37:6097-6106
  • Schmied ID, Rajkumar D, Chang MI, Colom SM, Cleary RK. Ureteral stents do not increase the risk for acute kidney injury after colorectal surgery. Dis Colon Rectum 2024;67:151-159 PMID 37678267
  • Westfall KM, Rivard SJ, Suwanabol PA, Albright J, Ramm C, Cleary RK. Postoperative oral rehydration and regimented follow-up decrease readmissions for colorectal surgery patients with ileostomies. Dis Colon Rectum 2024;67:313-321
  • Kato PJ, Kanters AE, Rivard SJ, Hendren S, Ramm C, Albright J, Schumaker KE, Cleary RK. Comparison of surgeon and pathologist total mesorectal excision grade after rectal cancer resection: A single institution analysis. J Surg Oncol 2023; 127:983-990
  • Westfall KM, Cleary RK. Acute colonic pseudo-obstruction. Dis Colon Rectum 2022;65:1431-1434
  • Gowing J, Shanker BA, Thomas, TK, Cleary RK. Primary Care Physicians and patients prefer colonoscopy for colorectal cancer screening. Dis Colon Rectum 2023;66:348-351
  • Tang D, Rivard S, Weng W, Ramm C, Cleary RK, Hendren S. Lack of complete pretreatment staging is associated with omission of neoadjuvant therapy for rectal cancer: a statewide study. Dis Colon Rectum 2023;66:662-670
  • Diaz SE, Lee YF, Bastawrous AL, Shih IF, Lee SH, Li Y, Cleary RK. Comparison of health care utilization and expenditures for minimally invasive vs open colectomy for benign disease. Surg Endosc 2022;36:7250-7258. PMID 35194661
  • Cleary RK, Silviera M, Reidy T, McCormick J, Johnson C, Sylla P, Cannon J, Lujan H, Kassir A, Landemann R, Gaertner W, Lee E, Bastawrous AL, Bardakclioglu O, Pandey S, Attaluri V, Bernstein M, Obias V, Franklin M, Pigazzi A. Intracorporeal and extracorporeal anastomosis for robotic-assisted and laparoscopic right colectomy; short-term outcomes of a multi-center prospective trial. Surg Endosc 2022;36:4349-4358
  • Stapler SJ, Brockhaus KK, Battaglia MA, Mahoney ST, McClure AM, Cleary RK. A single institution analysis of targeted colorectal surgery enhanced recovery pathway strategies that decrease readmissions. Dis Colon Rectum 2022;65:e728-e740

Book Chapters

  • Kamara M, Sharp V. “Virtual Oral Boards Best Practice”. Passing the General Surgery Oral Board Exam, edited by Neff M. 2024
  • Kamara M, Sharp V. “Large Bowel Obstruction”. Passing the General Surgery Oral Board Exam, edited by Neff M. 2024
  • Kamara M, Kwakye G. “Anal Cancer: Prevention of Anal Cancer”. Surgical Oncology Clinics of North America, edited by Chu DI 2024
  • Cleary RK. Splenic Flexure Mobilization, In Principles and Practice of Robotic Surgery, Ed. Soliman M. 2023
  • Cleary RK, Akram WM. Robotic Right Colectomy, In Minimally Invasive Surgical Techniques for Cancers of the Gastrointestinal Tract. Springer, Ed. Aguilar-Garcia J. 2020
  • 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.
  • 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. 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.
  • 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. 2019

Regional and National Presentations

  • Kamara M. Protect yourself against colorectal cancer: Catch it Early and Reduce your Risk. Ypsilanti, MI October 24, 2023.
  • Kamara M. Association of Women Surgeons National Day of Service Event. April 13, 2024.
  • Kamara M. Tracing the Evolution of Anal Cancer Care: Insights from History on Treatment and Prevention. Ann Arbor, MI. May 21, 2024.
  • Kamara M. Tips for Intern Year. Resident and Fellows Committee, Association of Women Surgeons. June 11, 2024.
  • 2024 ASCRS Baltimore Kamara M, Baur K, Langmeyer J, Huebner M, Ramm C, Cleary RK. Early discharge after enhanced recovery rectal resection does not increase emergency department visits and readmissions: A single institution analysis. Surg Endosc 2024;38:4251-4259 PMID 38862825
  • 2024 ASCRS Baltimore Baur K, Sood EM, Huebner M, Ramm C, Kolli N, Cleary RK. Early discharge after enhanced recovery colectomy does not increase emergency department visits and readmission: A single institution analysis. Am Surg 2024;90:1439-1446 PMID: 38520237
  • 2024 ASCRS Baltimore Brewer J, Kamara M, Huebner M, Taxakis E, Grajewski K, Ramm C, Cleary RK. Operative trends following the adoption of nonoperative management of rectal cancer. J Surg Oncol 2024; 129:1139-1149 PMID: 38406980
  • 2024 ASCRS Baltimore Peracha N, Westfall KM, Brockhaus KK, Wang S, Huebner M, Kolli N, Cleary RK. Oral versus intravenous antibiotics following discharge after nonoperative management of diverticulitis with local perforation.
  • 2024 ASCRS Baltimore Nicholas S Cairl MD, Sarah Manski PhD, Marianne Huebner PhD, Nivya Kolli PharmD MS PhD, Robert K Cleary MD. Diverting ileostomy vs colostomy in colorectal surgery: A single institution outcomes comparison
  • 2023 ASCRS Seattle. Schmied ID, Rajkumar D, Chang MI, Colom SM, Cleary RK. Ureteral stents do not increase the risk for acute kidney injury after colorectal surgery. Dis Colon Rectum 2023 10.1097/DCR.0000000000002841
  • 2023 ASCRS Seattle Westfall KM, Rivard SJ, Suwanabol PA, Albright J, Ramm C, Cleary RK. Postoperative oral rehydration and regimented follow-up decrease readmissions for colorectal surgery patients with ileostomies. Dis Colon Rectum 2023
  • 2023 ASCRS Seattle. Kato PJ, Kanters AE, Rivard SJ, Hendren S, Ramm C, Albright J, Schumaker KE, Cleary RK. Comparison of surgeon and pathologist total mesorectal excision grade after rectal cancer resection: A single institution analysis. J Surg Oncol 2023; 127:983-990
  • 2023 ASCRS Seattle. Westfall KM, Cleary RK. Acute colonic pseudo-obstruction. Dis Colon Rectum 2022;65:1431-1434
  • 2023 ASCRS Seattle. Stapler SJ, Colom SM, Rajkumar D, Cleary RK. Early urinary catheter removal after colectomy for colovesical fistula is not associated with increased postoperative complications. Am Surg 2023
  • 2023 ASCRS Seattle. Bobel MC. CRS Virtual Education.
  • 2023 SAGES Montreal. Diaz S, Brockhaus KK, Bobel MC, Colom SM, Cleary RK. Pain and opioid use after colorectal resection for benign and malignant disease: A single institution analysis. J Gastrointest Surg 2023
  • 2022 ASCRS Tampa. Kaarto P, Westfall KM, Brockhaus K, Paulus AL, Albright J, Ramm C, Cleary RK. Alvimopan is associated with favorable outcomes in open and minimally invasive colorectal surgery: a regional database analysis. Surg Endosc 2023
  • 2022 ASCRS Tampa. Diaz SE, Lee YF, Bastawrous AL, Shih IF, Lee SH, Li Y, Cleary RK. Comparison of health care utilization and expenditures for minimally invasive vs open colectomy for benign disease. Surg Endosc 2022 10.1007/s00464-022-09097-x
  • 2022 ASCRS Tampa. Gowing J, Shanker BA, Thomas, TK, Cleary RK. Primary Care Physicians and patients prefer colonoscopy for colorectal cancer screening. Dis Colon Rectum 2023;66:348-351
  • 2022 ASCRS Tampa. Cairl NS, Gorgas E, Hendren S, Weng W, Cleary RK. Patients with upper rectal cancer receive neoadjuvant therapy: A statewide study.
  • 2022 ASCRS Tampa. Cleary RK. You can still be academic – incorporating academic research and teaching into private practice.