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Cost of Abdominoperineal Resection Worldwide

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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):

CountryCostLocal_currency
IndiaUSD 5400449010
United StatesUSD 4005040050
United KingdomUSD 6606 - 1661185219 - 131233
TurkeyUSD 10000301400
SingaporeUSD 3900052260

Abdominoperineal resection (APR) is a type of 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 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.

APR is done to correct rectal cancer, particularly tumors that are very low in the rectum and near the anus. It's also used for anal cancer or severe inflammatory bowel disease. The intention is to excise the diseased rectum and anus to avoid the spread of cancer or disease.

If rectal bleeding persists, bowel habit changes for more than a few weeks, unexplained abdominal pain arises, there is unintended weight loss, or any signs and symptoms of bowel obstruction are noted by the doctor.

Preparation involves imaging (MRI, CT, or PET scans) to stage the disease, and bowel prep before surgery. You’ll meet with a stoma care nurse to learn about colostomy care. Medications like blood thinners may be stopped, and pre-op clearance is obtained.

It is a major surgical procedure done under general anesthetic conditions, where the anus, the rectum, and the sigmoid colon are removed through the abdominal and perineal incisions, and the surgeon forms a permanent colostomy, bringing the end of the colon through abdominal wall. Depending on the case, it applies to open surgery or minimally invasive methods such as laparoscopy or robotic surgery.

The surgery usually takes 3 to 5 hours; the complexity and requirements of other procedures may affect this time.

  • Bleeding
  • Delayed wound healing
  • Urinary or sexual dysfunction
  • Hernia

APR is efficacious in excising the cancer or diseased tissue and is curative for early cancers. It eliminates bleeding, obstruction, and pain symptoms, and increases survival if cancer is eliminated.

Generally, recovery follows hospital admission early for 5-10 days. They are observed for complications while provision is made for pain management to advance normal food intake. Early activities are encouraged to prevent clot formation. Post-discharge, colostomy care is essential, and patients get education from ostomy nurses. Complete recovery may take 6-8 weeks or longer. Follow-ups with oncology review, scans, and possibly chemotherapy or radiation will continue.

The prognosis of a patient undergoing APR is closely tied to the stage of cancer at the time of surgery. The procedure is carried out in fairly localised disease states, and clear margins warrant a high survival rate and effective cancer control.

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Explore Hospitals ( 171 )
Abdominoperineal Resection in Prince Court Medical Centre: Costs, Top Doctors, and Reviews

Kuala Lumpur, Malaysia

Prince Court is a private medical facility in the center of Kuala Lumpur that has 277 individual beds. Our dedication is to provide you with the best treatment possible from the time you arrive until you depart, healthier and happier. We are well-known for our top-notch facilities, cutting-edge technology, and friendly customer service.

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

Istanbul, Turkey

  • Joint Commission International, or JCI

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

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)9066 - 18224276863 - 542942
Standard Abdominoperineal Resection7225 - 13678219646 - 401941
Laparoscopic Abdominoperineal Resection8906 - 15436274294 - 468391
Robotic Abdominoperineal Resection11393 - 17625331970 - 539274
  • Address: Yeilk
  • Facilities related to Acibadem International Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Abdominoperineal Resection in Bangkok Hospital: Costs, Top Doctors, and Reviews

Bangkok, Thailand

  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in Bangkok Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (THB)
Abdominoperineal Resection (Overall)16501 - 23424595077 - 841781
Standard Abdominoperineal Resection13457 - 20197471312 - 719360
Laparoscopic Abdominoperineal Resection14427 - 22129522494 - 793041
Robotic Abdominoperineal Resection16796 - 24060614562 - 828426
  • Address: Bangkok Dusit Medical Services, Nong Prue, Bang Phli, Samut Prakan, Thailand
  • Facilities related to Bangkok Hospital: SIM, TV inside room, Accommodation, Choice of Meals
Abdominoperineal Resection in Asan Medical Centre: Costs, Top Doctors, and Reviews

Seoul, South Korea

  • ISO 9001

Asan Medical Centre located in Seoul, South Korea is accredited by ISO. Also listed below are some of the most prominent infrastructural details:

  • 524,700 square meters is the floor area of Asan Medical Centre
  • Number of beds is 2,715
  • 67 operating rooms
  • 11,680 outpatients
  • Everday 2,427 inpatients come to the Centre
  • 66,838 Sophisticated surgeries (per year)
  • 1,600 physicians and surgeons
  • 3,100 nurses
  • Five various types of rooms ranging from suites to multi-bed rooms
Abdominoperineal Resection in Mount Elizabeth Novena Hospital: Costs, Top Doctors, and Reviews

Novena, Singapore

  • Joint Commission International, or JCI

Mount Elizabeth Novena Hospital located in Novena, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity of 333 beds
  • Intensive Care Unit beds
  • Endoscopy beds
  • Day ward with 20 beds
  • 13 Operating Theatres, which includes 1 Neurological operating room, 2 Cardiac operating rooms, 4 Orthopaedic operating rooms, etc.
  • High Dependency Unit (HDU)
  • Neonatal Intensive Care Unit (NICU)
  • 24/7 Accident & Emergency Department
  • Maternity ward
  • 1 major operating unit with 13 operating rooms inclusive of 1 hybrid theatre
  • In-house Pharmacy
  • Rooms are categorized as Single Signature Rooms, Junior Suite and Regal Suite
  • All patient rooms are equipped with electric safe, LCD, sofa cum bed, wardrobe, radio channels, and much more
Abdominoperineal Resection in Mount Elizabeth Hospital: Costs, Top Doctors, and Reviews

Singapore, Singapore

  • Joint Commission International, or JCI

Mount Elizabeth Hospital located in Singapore, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 345 bedded Hospital
  • Maternity wards
  • The Mount Elizabeth Patient Assistance Centre (MPAC)
  • 1 major operating unit with 12 operating rooms and 1 operating theatre dedicated to in vitro fertilisation (IVF)
  • Intensive Care Unit
  • High Dependency Unit (HDU)
  • Neonatal Intensive Care Unit (NICU)
  • Accident & Emergency Department
  • Rooms are categorized as Single rooms, 2-bedded rooms, 4-bedded rooms, Executive deluxe suite, Daffodil/Magnolia suite, VIP Room, and Royal Suite
  • All patient rooms are equipped with electric safe, LCD, sofa cum bed, wardrobe, radio channels, and much more
  • Parking lot
Abdominoperineal Resection in BLK-Max Super Speciality Hospital: Costs, Top Doctors, and Reviews

Delhi, India

5.0 ( 1 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

BLK-Max Super Speciality Hospital, located in New Delhi, is the leading best-in-class healthcare institution in India, providing tertiary and quaternary care. 650 + beds including 162 critical care beds, 22 OTs with 1,500+ clinical professionals allied to health are at the hospital's disposal. JCI, NABH, and NABL accredited. The hospitals are a leader in transplants, cancer care, and robotic surgery education and implementation. Established in1959 by Dr. B.L. Kapur, the hospital combines state-of-the-art technology with patient-centric values including compassion, efficiency, and consistency.

Abdominoperineal Resection in Kings College Hospital Dubai: Costs, Top Doctors, and Reviews

Dubai, United Arab Emirates

  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in Kings College Hospital Dubai and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (AED)
Abdominoperineal Resection (Overall)13728 - 2201149982 - 84243
Standard Abdominoperineal Resection11182 - 1992740468 - 75793
Laparoscopic Abdominoperineal Resection13542 - 2127250183 - 76948
Robotic Abdominoperineal Resection15422 - 2223058652 - 82619
  • Address: King's College Hospital London, Dubai, East Exit - Al Marabea' Street - Dubai - United Arab Emirates
  • Facilities related to Kings College Hospital Dubai: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Abdominoperineal Resection in Artemis Health Institute: Costs, Top Doctors, and Reviews

Gurgaon, India

3.3 ( 4 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Types of Abdominoperineal Resection in Artemis Health Institute and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8833 - 13736723536 - 1101742
Standard Abdominoperineal Resection6763 - 11376546156 - 908005
Laparoscopic Abdominoperineal Resection9105 - 13725744878 - 1121634
Robotic Abdominoperineal Resection8988 - 16620750736 - 1384148
  • Address: Artemis Hospitals, Sector 51, Gurugram, Haryana, India
  • Facilities related to Artemis Health Institute : Mobility Accessible Rooms, TV in room, Religious Facilities, Health Insurance Coordination, Cafe
Abdominoperineal Resection in Gleneagles Hospital: Costs, Top Doctors, and Reviews

Singapore, Singapore

  • Joint Commission International, or JCI

Gleneagles Hospital, located on Napier Road in Singapore, is a leading private healthcare institution offering comprehensive medical services and advanced clinical care. With 221 beds and a strong team of medical specialists, the hospital holds the Singapore Quality Class certification for excellence in healthcare. Its state-of-the-art facilities include ICU, HDU, NICU, Urgent Care Centre, operating theatres, radiology, endoscopy, laboratories, and rehabilitation units. Gleneagles specializes in orthopaedics, oncology, women’s health, and gastroenterology, offering tailored programs for cancer, bone, and gut health. With modern maternity packages and patient-friendly rooms, the hospital ensures compassionate, high-quality care focused on safety, comfort, and recovery.

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Process Involved for Abdominoperineal Resection

  • Consultation: Evaluation of diagnosis and APR appropriateness.
  • Preoperative Evaluation: A thorough assessment that includes imaging tests (CT, MRI, colonoscopy), as well as a physical examination.
  • Talking about Treatment: Provide a thorough description of the surgical process, including possible risks (bleeding, infection, problems with wound healing).
  • Planning a surgery: Go over the surgical procedure: rectum and anus removal, colostomy formation.
  • Following surgery Follow-up: Consistent follow-up to monitor healing and handle issues.
  • Rectal cancer
  • Anal cancer
  • Crohn’s disease
  • Patients with advanced anal or rectal cancer that is close to the anus are advised to do this.
  • Also taken into consideration are various rectum or anus-related disorders that are not susceptible to less invasive treatment.
  • Usually done when other therapies are failing or when the malignancy is too near the anus to heal it.
  • cancer or disease removal, raising the chances of survival.
  • Colostomy formation for evacuation of post-surgical waste.
  • Relief from bleeding, incontinence, and discomfort.
  • Improved quality of life after the illness was eradicated and its symptoms were controlled.
  • Surgical Oncologist
  • Medical Oncologist
  • Fill out the inquiry form: Fill out the form to provide us with the relevant information about your condition.
  • Consult with Our Healthcare Expert: One of our qualified specialists will contact you for a consultation.
  • Receive a Detailed Treatment Plan: After examining your situation, we will provide you with a detailed treatment plan that includes expert views and cost breakdowns for various choices.
  • Choose your preferred option: Choose the treatment option that suits you the best.

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With over 18 years of distinguished clinical experience, Dr. Vijita Jayan is a highly accomplished Clinical Director and Rehabilitation Specialist, renowned for her expertise in neuro-rehabilitation, functional recovery, and mobility-dependent case management. Her extensive practical knowledge enables her to design and implement individualized, evidence-based rehabilitation protocols that consistently yield measurable patient outcomes. A prolific researcher and academic writer, she has authored numerous peer-reviewed articles and research papers, significantly advancing the field of rehabilitative medicine. The recipient of multiple prestigious accolades, Dr. Jayan is widely regarded as one of the foremost authorities in Physical Medicine and Rehabilitation, continually shaping neuro-rehabilitative care through research, innovation, and clinical excellence.. View More

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Dr Prateek Varshney

Surgical Oncologist

15 Years of Experience

Dr. Prateek Varshney is a renowned Surgical Oncologist. He has experience of more than 15+ years in surgical Oncology. He is currently practicing as a consultant at Metro Mass Hospital and Cancer Institute. He was also previously associated as a consultant with Sir Ganga Ram Hospital and as a professor at Gujarat Cancer Research Institute. View More