“All patients deserve a chance to lead their best life. I am here to help get them there.”

Areas of Expertise:

• Anorectal disease
• Benign polyps
• Colon cancer, rectal cancer, anal cancer and appendiceal cancers
• Complex reoperations
• Diverticulitis
• Inflammatory bowel diseases such as Crohn’s and ulcerative colitis, including pouch procedures and redo pouches
• Minimally invasive surgery including laparoscopic, robotic and transanal surgery

I have a particular interest in the delivery of and access to colorectal surgery and was drawn to this field because of amazing mentors that showed me the complexities and enormous breadth of practice that colorectal surgery encompasses. From the multidisciplinary care of colorectal cancers and inflammatory bowel disease to just a screening colonoscopy, good surgery will always be the cornerstone of excellent outcomes for my patients.

Rochester is my hometown and my values are deeply rooted in the culture of the city. I have always wanted to give back to the city and people that made me who I am. University of Rochester Medical Center is a hub for complex multidisciplinary care of colorectal cancers and benign colorectal diseases in the region and I want to help patients access our world- class care more easily. I look forward to being home and caring for the Rochester community.

Certified Specialties

Colon & Rectal Surgery - American Board of Colon & Rectal Surgery

Surgery (General Surgery) - American Board of Surgery

Faculty Appointments

Assistant Professor - Department of Surgery, Colorectal Surgery (SMD)

Credentials

Residency & Fellowship

Fellowship, Colon & Rectal Surgery, Cleveland Clinic Foundation. 2020 - 2021

Residency, Surgery (General Surgery), University of Rochester Medical Center. 2014 - 2020

Internship, Surgery (General Surgery), University of Rochester Medical Center. 2013 - 2014

Education

MPH | University of Rochester School of Medicine/Dentistry. 2018

MD | University of Rochester. 2013

Awards

Resident of the Year. 2020

Publications

Journal Articles

Could Meeting the Standards of the National Accreditation Program for Rectal Cancer in the National Cancer Database Improve Patient Outcomes?

Brady JT, Bingmer K, Bliggenstorfer J, Xu Z, Fleming FJ, Remzi FH, Monson JRT, Wexner SD, Dietz DW,

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.. 2023 February 2 Epub 02/02/2023.

How Far Is Too Far? Cost-Effectiveness Analysis of Regionalized Rectal Cancer Surgery.

Leeds IL, Xu Z, Loria A, Pantel HJ, Mongiu AK, Longo WL, Reddy V

Diseases of the colon and rectum.. 2022 November 28 Epub 11/28/2022.

Impact of Total Neoadjuvant Therapy on Postoperative Outcomes After Proctectomy for Rectal Cancer.

Xu Z, Valente MA, Sklow B, Liska D, Gorgun E, Kessler H, Rosen DR, Steele SR

Diseases of the colon and rectum.. 2022 October 14 Epub 10/14/2022.

Is robotic utilization associated with increased minimally invasive colorectal surgery rates? Surgeon-level evidence.

Justiniano CF, Becerra AZ, Loria A, Xu Z, Aquina CT, Temple LK, Fleming FJ

Surgical endoscopy.. 2022 January 13 Epub 01/13/2022.

The treatment-travel tradeoff of colorectal cancer care.

Xu Z, Fleming FJ

Surgery.. 2020 November 18 Epub 11/18/2020.

Variation in Adequate Lymph Node Yield for Gastric, Lung, and Bladder Cancer: Attributable to the Surgeon, Pathologist, or Hospital?

Aquina CT, Truong M, Justiniano CF, Kaur R, Xu Z, Boscoe FP, Schymura MJ, Becerra AZ

Annals of surgical oncology.. 2020 October 27 (11):4093-4106. Epub 05/06/2020.

What patient factors and Patient-Reported Outcomes Measurement Information System domains are associated with worse pain coping in pediatric orthopaedic patients in the United States?

Bernstein DN, Fear K, Xu Z, Sanders JO, Cook PC, Rubery PT, Nelson S, O'Malley N

Journal of pediatric orthopedics. Part B.. 2020 July 24 Epub 07/24/2020.

Response Letter to the Editor: Retiring Usage of "Debulking Surgery".

Becerra AZ, Xu Z, Fleming FJ, Temkin SM

The Journal of surgical research.. 2020 June 16 Epub 06/16/2020.

Centralizing Rectal Cancer Surgery: What Is the Impact of Travel on Patients?

Xu Z, Aquina CT, Justiniano CF, Becerra AZ, Boscoe FP, Schymura MJ, Temple LK, Fleming FJ

Diseases of the colon and rectum.. 2020 March 63 (3):319-325. Epub 1900 01 01.

Quality Assurance, Metrics, and Improving Standards in Rectal Cancer Surgery in the United States.

Xu Z, Fleming FJ

Frontiers in oncology.. 2020 10 :655. Epub 04/29/2020.

Hospital and surgeon variation in positive circumferential resection margin among rectal cancer patients.

Justiniano CF, Aquina CT, Fleming FJ, Xu Z, Boscoe FP, Schymura MJ, Temple LK, Becerra AZ

American journal of surgery.. 2019 November 218 (5):881-886. Epub 02/28/2019.

Complications and Survivorship Trends After Primary Debulking Surgery for Ovarian Cancer.

Xu Z, Becerra AZ, Justiniano CF, Aquina CT, Fleming FJ, Boscoe FP, Schymura MJ, Sinno AK, Chaoul J, Morrow GR, Minasian L, Temkin SM

The Journal of surgical research.. 2019 September 24246 :34-41. Epub 09/24/2019.

A Population-Based Study of 90-Day Hospital Cost and Utilization Associated With Robotic Surgery in Colon and Rectal Cancer.

Justiniano CF, Becerra AZ, Xu Z, Aquina CT, Boodry CI, Schymura MJ, Boscoe FP, Noyes K, Temple LK, Fleming FJ

The Journal of surgical research.. 2019 August 13245 :136-144. Epub 08/13/2019.

Surgeon, Hospital, and Geographic Variation in Minimally Invasive Colectomy.

Aquina CT, Becerra AZ, Justiniano CF, Xu Z, Boscoe FP, Schymura MJ, Noyes K, Monson JRT, Temple LK, Fleming FJ

Annals of surgery.. 2019 June 269 (6):1109-1116. Epub 1900 01 01.

Treatments for Stage IV Colon Cancer and Overall Survival.

Xu Z, Becerra AZ, Fleming FJ, Aquina CT, Dolan JG, Monson JR, Temple LK, Jusko TA

The Journal of surgical research.. 2019 May 6242 :47-54. Epub 05/06/2019.

Effect of care continuity on mortality of patients readmitted after colorectal surgery.

Justiniano CF, Xu Z, Becerra AZ, Aquina CT, Boodry CI, Temple LK, Fleming FJ

The British journal of surgery.. 2019 February 1 Epub 02/01/2019.

Readmissions With Dehydration After Ileostomy Creation: Rethinking Risk Factors.

Justiniano CF, Temple LK, Swanger AA, Xu Z, Speranza JR, Cellini C, Salloum RM, Fleming FJ

Diseases of the colon and rectum.. 2018 November 61 (11):1297-1305. Epub 1900 01 01.

Population-based study of outcomes following an initial acute diverticular abscess.

Aquina CT, Becerra AZ, Xu Z, Justiniano CF, Noyes K, Monson JRT, Fleming FJ

The British journal of surgery.. 2018 October 18 Epub 10/18/2018.

Nationwide Heterogeneity in Hospital-Specific Probabilities of Rectal Cancer Understaging and Its Effects on Outcomes.

Becerra AZ, Wexner SD, Dietz DW, Xu Z, Aquina CT, Justiniano CF, Swanger AA, Temple LK, Noyes K, Monson JR, Fleming FJ

Annals of surgical oncology.. 2018 August 25 (8):2332-2339. Epub 05/30/2018.

Evaluating the Current Status of Rectal Cancer Care in the US: Where We Stand at the Start of the Commission on Cancer's National Accreditation Program for Rectal Cancer.

Brady JT, Xu Z, Scarberry KB, Saad A, Fleming FJ, Remzi FH, Wexner SD, Winchester DP, Monson JRT, Lee L, Dietz DW,

Journal of the American College of Surgeons.. 2018 May 226 (5):881-890. Epub 03/23/2018.

Patterns and Yearly Time Trends in the Use of Radiation Therapy During the Last 30 Days of Life Among Patients With Metastatic Rectal Cancer in the United States From 2004 to 2012.

Becerra AZ, Probst CP, Fleming FJ, Xu Z, Aquina CT, Justiniano CF, Boodry CI, Swanger AA, Noyes K, Katz AW, Monson JR, Jusko TA

The American journal of hospice & palliative care.. 2018 February 35 (2):336-342. Epub 05/11/2017.

Trends in Surgeon-Level Utilization of Sacral Nerve Stimulator Implantation for Fecal Incontinence in New York State.

Xu Z, Fleming FJ, Justiniano CF, Becerra AZ, Boodry CI, Aquina CT, Temple LK, Speranza JR

Diseases of the colon and rectum.. 2018 January 61 (1):107-114. Epub 1900 01 01.

Postoperative Mortality After Nonelective Surgery for Inflammatory Bowel Disease Patients in the Era of Biologics.

Justiniano CF, Aquina CT, Becerra AZ, Xu Z, Boodry CI, Swanger AA, Monson JRT, Fleming FJ

Annals of surgery.. 2017 December 11 Epub 12/11/2017.

Is the Distance Worth It? Patients With Rectal Cancer Traveling to High-Volume Centers Experience Improved Outcomes.

Xu Z, Becerra AZ, Justiniano CF, Boodry CI, Aquina CT, Swanger AA, Temple LK, Fleming FJ

Diseases of the colon and rectum.. 2017 December 60 (12):1250-1259. Epub 1900 01 01.

Long-term Deleterious Impact of Surgeon Care Fragmentation After Colorectal Surgery on Survival: Continuity of Care Continues to Count.

Justiniano CF, Xu Z, Becerra AZ, Aquina CT, Boodry CI, Swanger A, Temple LK, Fleming FJ

Diseases of the colon and rectum.. 2017 November 60 (11):1147-1154. Epub 1900 01 01.

Explaining variation in ventral and inguinal hernia repair outcomes: A population-based analysis.

Aquina CT, Fleming FJ, Becerra AZ, Xu Z, Hensley BJ, Noyes K, Monson JRT, Jusko TA

Surgery.. 2017 September 162 (3):628-639. Epub 05/18/2017.

Lymph node yield is an independent predictor of survival in rectal cancer regardless of receipt of neoadjuvant therapy.

Xu Z, Berho ME, Becerra AZ, Aquina CT, Hensley BJ, Arsalanizadeh R, Noyes K, Monson JR, Fleming FJ

Journal of clinical pathology.. 2017 July 70 (7):584-592. Epub 12/08/2016.

Variation in Delayed Time to Adjuvant Chemotherapy and Disease-Specific Survival in Stage III Colon Cancer Patients.

Becerra AZ, Aquina CT, Mohile SG, Tejani MA, Schymura MJ, Boscoe FP, Xu Z, Justiniano CF, Boodry CI, Swanger AA, Noyes K, Monson JR, Fleming FJ

Annals of surgical oncology.. 2017 June 24 (6):1610-1617. Epub 10/13/2016.

Nonelective colon cancer resection: A continued public health concern.

Aquina CT, Becerra AZ, Xu Z, Boscoe FP, Schymura MJ, Noyes K, Monson JR, Fleming FJ

Surgery.. 2017 June 161 (6):1609-1618. Epub 02/23/2017.

Emergent Colectomy Is Independently Associated with Decreased Long-Term Overall Survival in Colon Cancer Patients.

Xu Z, Becerra AZ, Aquina CT, Hensley BJ, Justiniano CF, Boodry C, Swanger AA, Arsalanizadeh R, Noyes K, Monson JR, Fleming FJ

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract.. 2017 March 21 (3):543-553. Epub 01/12/2017.

Poor compliance with adjuvant chemotherapy use associated with poorer survival in patients with rectal cancer: An NCDB analysis.

Xu Z, Mohile SG, Tejani MA, Becerra AZ, Probst CP, Aquina CT, Hensley BJ, Arsalanizadeh R, Noyes K, Monson JR, Fleming FJ

Cancer.. 2017 January 1123 (1):52-61. Epub 08/25/2016.

The impact of age on complications, survival, and cause of death following colon cancer surgery.

Aquina CT, Mohile SG, Tejani MA, Becerra AZ, Xu Z, Hensley BJ, Arsalani-Zadeh R, Boscoe FP, Schymura MJ, Noyes K, Monson JR, Fleming FJ

British journal of cancer.. 2017 January 116 (3):389-397. Epub 01/05/2017.

Variation in Hospital-Specific Rates of Suboptimal Lymphadenectomy and Survival in Colon Cancer: Evidence from the National Cancer Data Base.

Becerra AZ, Berho ME, Probst CP, Aquina CT, Tejani MA, Gonzalez MG, Xu Z, Swanger AA, Noyes K, Monson JR, Fleming FJ

Annals of surgical oncology.. 2016 December 23 (Suppl 5):674-683. Epub 09/09/2016.

Patients With Adhesive Small Bowel Obstruction Should Be Primarily Managed by a Surgical Team.

Aquina CT, Becerra AZ, Probst CP, Xu Z, Hensley BJ, Iannuzzi JC, Noyes K, Monson JR, Fleming FJ

Annals of surgery.. 2016 September 264 (3):437-47. Epub 1900 01 01.

Books

Clinical Decision Making in Colorectal Surgery (2020)

Chapter: Anorectal Abscess

Authors: Xu Z, Speranza JR

Publisher: Springer Nature Switzerland AG 2020

Ratings & Reviews

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