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Abdominoperineal Resection Surgery Cost

A procedure for rectal or anal cancer is called an abdominoperineal resection. It is the surgical procedure used to remove the anus, rectum, and sigmoid colon to treat cancer that has spread extremely low in these regions. Once they are removed, a permanent colostomy allows the body to expel waste. An incision is made in the abdominal region to accomplish this. The surgery usually takes two to three hours to complete.

Factors determining the cost of an Abdominoperineal Resection (APR):

  • Hospital costs: A sizeable portion of the total cost is attributed to the costs levied by the hospital or surgical center where the APR is performed. This covers the price of the operating room, the recovery room, the hospital stay, the prescription drugs, and any extra services the hospital may offer.
  • Surgeon's Fees: The price is determined by the reputation, experience, and skill of the colorectal surgeon who is doing the APR. extra experienced or specially trained surgeons in colorectal surgery could bill extra for their services.
  • Anesthesia Fees: Anesthesia-related costs are incurred during APR operation and are factored into the overall cost. These costs may vary depending on the kind of anesthesia (general anesthesia) and the amount of time needed for anesthesia.
  • Preoperative Examinations and Tests: Prior to having APR surgery, patients usually go through a number of preoperative examinations and tests, including blood tests, colonoscopies, MRI and CT scans, and consultations with medical specialists. The total cost is increased by the cost of these assessments and testing.
  • Surgical Supplies and Implants: Surgical supplies, including sutures, surgical staplers, and equipment, as well as implants, including stoma appliances, may be used during APR surgery. Depending on their kind, size, and material composition, various supplies, and implants can have different prices.
  • Hospital Stay: Following APR surgery, the length of stay in the hospital might vary based on a number of factors, including the patient's general health, the surgical result, and any complications that arise after the procedure. Extended hospital stays may raise the procedure's total cost.
  • Following APR surgery, patients need postoperative care and rehabilitation. This includes pain treatment, wound care, ostomy care (should a permanent colostomy be formed), medication, and follow-up appointments with the oncologist and surgeon. When evaluating the total cost, postoperative care costs need to be taken into account.
  • Complications and Further Procedures: If complications arise during or following APR surgery, more procedures or therapies may be required, raising the total cost. These could involve longer hospital stays, follow-up procedures, or interventions to treat problems like infection or intestinal obstruction.
CountryCostLocal_currency
IndiaUSD 5400449010
United StatesUSD 4005040050
United KingdomUSD 6606 - 1661185219 - 131233
TurkeyUSD 10000301400
SingaporeUSD 3900052260

Treatment and Cost

21

Total Days
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  • 5 Day in Hospital
  • 2 No. Travelers
  • 16 Days Outside Hospital

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149 Hospitals

Abdominoperineal Resection in Apollo Hospital: Costs, Top Doctors, and Reviews

Chennai, India

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Types of Abdominoperineal Resection in Apollo Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8854 - 13372737760 - 1086771
Standard Abdominoperineal Resection6633 - 11284561317 - 907165
Laparoscopic Abdominoperineal Resection8912 - 13274732390 - 1088494
Robotic Abdominoperineal Resection9091 - 16659734861 - 1388352
  • Address: Apollo Hospital Greams Road Chennai - Best Hospital in Chennai, Greams Road, Thousand Lights West, Thousand Lights, Chennai, Tamil Nadu, India
  • Facilities related to Apollo Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
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Abdominoperineal Resection in Apollo Multispecialty Hospitals: Costs, Top Doctors, and Reviews

Kolkata, India

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  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
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Types of Abdominoperineal Resection in Apollo Multispecialty Hospitals and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)9112 - 13522748216 - 1085246
Standard Abdominoperineal Resection6789 - 11381555961 - 933780
Laparoscopic Abdominoperineal Resection8872 - 13420735545 - 1116771
Robotic Abdominoperineal Resection8888 - 17037753932 - 1353439
  • Address: Apollo Gleneagles Hospitals, Canal Circular Road, Kadapara, Phool Bagan, Kadapara, Kolkata, West Bengal, India
  • Facilities related to Apollo Multispecialty Hospitals: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
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Abdominoperineal Resection in Memorial Atasehir Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

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Types of Abdominoperineal Resection in Memorial Atasehir Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)9025 - 18205275328 - 546322
Standard Abdominoperineal Resection7345 - 13333217060 - 406799
Laparoscopic Abdominoperineal Resection9009 - 15849267793 - 475768
Robotic Abdominoperineal Resection11005 - 17757340543 - 553355
  • Address: K
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Abdominoperineal Resection in BGS Gleneagles Global Hospitals: Costs, Top Doctors, and Reviews

Bangalore, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)
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Types of Abdominoperineal Resection in BGS Gleneagles Global Hospitals and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8925 - 13533751070 - 1121233
Standard Abdominoperineal Resection6606 - 11446546316 - 942877
Laparoscopic Abdominoperineal Resection9087 - 13627724782 - 1083126
Robotic Abdominoperineal Resection8816 - 16618748205 - 1412772
  • Address: BGS Gleneagles Global Hospitals, Sunkalpalya, Bengaluru, Karnataka, India
  • Facilities related to BGS Gleneagles Global Hospitals: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
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Abdominoperineal Resection in Fortis Hospital: Costs, Top Doctors, and Reviews

Noida, India

3.0 ( 1 Reviews )
  • ISO 9001
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
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Types of Abdominoperineal Resection in Fortis Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8157 - 12158667418 - 1001144
Standard Abdominoperineal Resection6063 - 10163501476 - 831176
Laparoscopic Abdominoperineal Resection8129 - 12148666576 - 1000762
Robotic Abdominoperineal Resection8106 - 15255667547 - 1254278
  • Address: Fortis Hospital, Rasoolpur Nawada, Industrial Area, Sector 62, Noida, Uttar Pradesh, India
  • Facilities related to Fortis Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
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Abdominoperineal Resection in Wockhardt Hospital, Umrao: Costs, Top Doctors, and Reviews

Mumbai, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
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Types of Abdominoperineal Resection in Wockhardt Hospital, Umrao and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8142 - 12182663061 - 993951
Standard Abdominoperineal Resection6106 - 10147501251 - 829167
Laparoscopic Abdominoperineal Resection8148 - 12193667877 - 1001428
Robotic Abdominoperineal Resection8108 - 15282669052 - 1247743
  • Address: Wockhardt Umrao Multy Speciality Hospital, Bharti Nagar, Mira Road East, Thane, Maharashtra, India
  • Facilities related to Wockhardt Hospital, Umrao: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
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Abdominoperineal Resection in Fortis La Femme, Greater Kailash II: Costs, Top Doctors, and Reviews

Delhi, India

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Types of Abdominoperineal Resection in Fortis La Femme, Greater Kailash II and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8083 - 12198664239 - 1000693
Standard Abdominoperineal Resection6093 - 10109498457 - 828597
Laparoscopic Abdominoperineal Resection8107 - 12143664489 - 996450
Robotic Abdominoperineal Resection8128 - 15242665498 - 1250934
  • Address: Fortis La Femme, Block S, Greater Kailash II, Alaknanda, New Delhi, Delhi, India
  • Facilities related to Fortis La Femme, Greater Kailash II: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
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Abdominoperineal Resection in Indraprastha Apollo Hospital: Costs, Top Doctors, and Reviews

Delhi, India

4.4 ( 5 Reviews )
  • ISO 9001
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Types of Abdominoperineal Resection in Indraprastha Apollo Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)9158 - 13226751819 - 1099289
Standard Abdominoperineal Resection6820 - 11197562044 - 920521
Laparoscopic Abdominoperineal Resection8828 - 13325726946 - 1108828
Robotic Abdominoperineal Resection9139 - 17162740906 - 1360516
  • Address: Indraprastha Apollo Hospitals, Mathura Road, Sarita Vihar, New Delhi, Delhi, India
  • Facilities related to Indraprastha Apollo Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
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Abdominoperineal Resection in Manipal Hospital, Yeshwantpur: Costs, Top Doctors, and Reviews

Bangalore, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
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Types of Abdominoperineal Resection in Manipal Hospital, Yeshwantpur and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8850 - 13367734777 - 1114335
Standard Abdominoperineal Resection6696 - 11150554706 - 923279
Laparoscopic Abdominoperineal Resection8970 - 13304724323 - 1085078
Robotic Abdominoperineal Resection9040 - 16617722608 - 1358942
  • Address: Manipal Hospital Yeshwanthpur, 1st Main Road, Malleswaram, Bengaluru, Karnataka, India
  • Facilities related to Manipal Hospital, Yeshwantpur: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
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Abdominoperineal Resection in Medicana Konya Hospital: Costs, Top Doctors, and Reviews

Konya, Turkey

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Types of Abdominoperineal Resection in Medicana Konya Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)9130 - 17794275978 - 538051
Standard Abdominoperineal Resection7272 - 13607220659 - 410556
Laparoscopic Abdominoperineal Resection8957 - 15683271702 - 470594
Robotic Abdominoperineal Resection11236 - 17758340364 - 554020
  • Address: Feritpaşa Mahallesi, Medicana Hospital in Konya, Gürz Sokak, Selçuklu/Konya, Turkey
  • Facilities related to Medicana Konya Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
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Abdominoperineal Resection in Shanti Mukand Hospital: Costs, Top Doctors, and Reviews

Delhi, India

5.0 ( 1 Reviews )
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  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
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Types of Abdominoperineal Resection in Shanti Mukand Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8129 - 12146668383 - 1001574
Standard Abdominoperineal Resection6099 - 10104500451 - 833215
Laparoscopic Abdominoperineal Resection8083 - 12211667909 - 1002760
Robotic Abdominoperineal Resection8099 - 15156664713 - 1249713
  • Address: Shanti Mukand Hospital, Dayanand Vihar, Anand Vihar, Delhi, India
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Abdominoperineal Resection in VPS Lakeshore Hospital: Costs, Top Doctors, and Reviews

Kochi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
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Types of Abdominoperineal Resection in VPS Lakeshore Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8091 - 12216666301 - 1001152
Standard Abdominoperineal Resection6119 - 10150497504 - 833459
Laparoscopic Abdominoperineal Resection8088 - 12190663162 - 996798
Robotic Abdominoperineal Resection8159 - 15257667940 - 1251891
  • Address: VPS Lakeshore Hospital, Nettoor, Maradu, Ernakulam, Kerala, India
  • Facilities related to VPS Lakeshore Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
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DOCTORS IN 13 SPECIALITIES

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Abdominoperineal Resection in Acibadem Maslak Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

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Types of Abdominoperineal Resection in Acibadem Maslak Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)8930 - 18131266190 - 537329
Standard Abdominoperineal Resection7256 - 13719219402 - 411027
Laparoscopic Abdominoperineal Resection8919 - 15645274676 - 476539
Robotic Abdominoperineal Resection11321 - 17679338646 - 539646
  • Address: Dar
  • Facilities related to Acibadem Maslak Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
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Abdominoperineal Resection in Acibadem Fulya Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

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Types of Abdominoperineal Resection in Acibadem Fulya Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)8894 - 17679269551 - 548976
Standard Abdominoperineal Resection7289 - 13332220902 - 403263
Laparoscopic Abdominoperineal Resection9172 - 15655273965 - 466636
Robotic Abdominoperineal Resection11429 - 18219333769 - 552663
  • Address: Dikilita Mahallesi, Acbadem Fulya Hastanesi, Hakk Yeten Caddesi, Beikta/Istanbul, Turkey
  • Facilities related to Acibadem Fulya Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
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Abdominoperineal Resection in Medical Park Gebze Hospital: Costs, Top Doctors, and Reviews

Kocaeli, Turkey

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Types of Abdominoperineal Resection in Medical Park Gebze Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)9109 - 18373269313 - 551829
Standard Abdominoperineal Resection7422 - 13678221292 - 411240
Laparoscopic Abdominoperineal Resection8845 - 15803271299 - 477573
Robotic Abdominoperineal Resection11376 - 18378337339 - 552259
  • Address: G
  • Facilities related to Medical Park Gebze Hospital: Choice of Meals, Interpreter, SIM, Accommodation, Airport Transfer
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About the Abdominoperineal Resection

Abdominoperineal resection (APR) is a type of a surgery in which the anus, rectum, and sigmoid colon are removed through small cuts in the belly. It is a surgical procedure done primarily to remove the cancer of the rectum. Typically, abdominoperineal resection (AP) is conducted as an elective procedure. This procedure is most often used to treat rectum cancer if it is located very low in the rectum or in the anus, close to the sphincter muscles.

Nowadays, advanced surgical techniques and other treatment modalities have brought an increase in the rate of sphincter-sparing operations. However, APR surgery is still necessary in selected cases, especially if the patient has distal tumors or poor sphincter function.  AP resection is a major operation. During perineal resection, the rectum, distal colon, and anal sphincter complex are completely removed using both anterior abdominal and perineal incisions. Once the anus and rectum are removed, a permanent colostomy is needed to complete the procedure.

Colostomy brings the colon to an opening at the surface of the skin, which allows the waste to pass out of the body. This new opening is called stoma and usually measures from one to one-and-a-half inches in diameter. A pouch, or a stoma appliance, is needed to be worn at all times. The stoma has no sphincter muscles, so there is no conscious control over the elimination of waste products from the body after the procedure.

How is Abdominoperineal Resection performed?

  • APR surgery starts with the administration of general anaesthesia. This ensures that patient remains asleep during the perineal resection.
  • Then the surgeon makes a small cut near the belly button and inserts a laparoscope. A laparoscope has a tiny camera on one end. It is inserted through the cut so so that the inside can be seen.
  • Once the laparoscopic camera is in the abdomen, the surgeon makes two to five more small cuts in the abdomen.
  • Surgical instruments are inserted through ports placed on these cuts.
  • The surgeon completes several steps before removing the rectum, anus, and sigmoid colon.
  • The surgeon releases the sigmoid colon and rectum from their attachment to the surrounding structures after dividing the main blood vessels that serve the tumour sections of the bowel.
  • The sigmoid colon is separated from the remaining large intestine after the separation.
  • After the sigmoid colon and rectum are removed, the surgeon operates perineal region to cut away the anus.
  • Finally, the anus, rectum, and sigmoid colon are completely removed from the body.
  • After perineal resection, the surgeon creates the stoma. It is known as a colostomy. The stoma is made from one of the surgical cuts usually placed on the left side of the abdomen.
  • To create a stoma, the surgeon removes a small disk of skin from the area around the cut.
  • The open end of the colon is pulled through the cut on the surface of the skin.
  • The surgeon then stitches the stoma in the place and the abdominal cavity is rinsed out.
  • A small drainage tube is inserted into one of the lower surgical cuts. This drainage tube will promote healing of the tissue inside the abdomen.
  • Finally, the surgeon carefully inspects inside the abdominal cavity and the stitches are used to close the cuts.

Recovery from Abdominoperineal Resection

Recovery of the patient depends on individual circumstances and general health of the patient. A patient may be required to stay in the hospital for three to seven days. However, some patients may need more time to recover.

You can walk and stand on the first day after AP resection and resume most of the usual activities shortly after the surgery. In fact, increased activity reduces the risk of blood clots and also improves breathing. A physical therapist will often visit you during your hospital stay and will help regain your strength after the surgery. After getting discharged from the hospital, avoid lifting more than 5 to 10 pounds for 4 weeks, as this allows the incisions to heal. It also decreases the risk of developing a hernia.

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