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Cost of Abdominoperineal Resection in Major Cities of Lithuania

City	Minimum Cost (USD)	Minimum Cost (LTL)	Maximum Cost (USD)	Maximum Cost (LTL)
Kaunas	USD 8000	27366	USD 18000	61573

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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 ( 1 )

Meliva Kardiolita Hospital, Kaunas

Kaunas, Lithuania

Apart from in-detail treatment procedures available, Kardiolita Hospital, Kaunas located in Kaunas, Lithuania has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals. Also listed below are some of the most prominent infrastructural details:

An outpatient department, 56-beds for inpatients
13 advanced operation theatres
24-hour intensive care unit
Emergency Department
Gynecology Center
Vascular Center
ENT Center
Neurology Center
General and Abdominal Surgery Center
The staff also takes care of your air travel and pick & drop facility
Gynecology Center
Vascular Center
ENT Center
Neurology Center
General and Abdominal Surgery Center
The staff also takes care of your air travel and pick & drop facility

5

DOCTORS IN 14 SPECIALITIES

17+

FACILITIES & AMENITIES

Price On Request

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Process Involved for Abdominoperineal Resection in Kaunas

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

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Frequently Asked Questions

Different hospitals have different pricing policy when it comes to the cost of Abdominoperineal Resection in Kaunas. There are many hospital who cover the cost of pre-surgical investigations of the patient in the treatment package. The Abdominoperineal Resection package in Kaunas includes the fees of the surgeon, hospitalization and anesthesia as well. A prolonged hospital stay due to delayed recovery, new diagnosis and complications after surgery may increase the cost of Abdominoperineal Resection in Kaunas.

There are many hospitals that perform Abdominoperineal Resection in Kaunas. The following are some of the most renowned hospitals for Abdominoperineal Resection in Kaunas:

Kardiolita Hospital, Kaunas

After discharge from the hospital, the patient has to stay for another 16 days in the country for complete recovery. This duration of stay is recommended to complete all the necessary follow-ups and control tests to ensure that the surgery was successful.

While Kaunas is considered to be one of the best destinations for Abdominoperineal Resection owing to the standard of Hospitals, and expertise of doctors Some of the other top destinations for Abdominoperineal Resection include the following:

Vilnius

Apart from the Abdominoperineal Resection cost, the patient may have to pay for additional daily expenses such as for guest house after discharge and meals. These are the charges for daily meals and accommodation outside the hospital. The per day cost in this case may range from 50 USD.

The patient has to spend about 5 Days in the hospital after Abdominoperineal Resection for proper recovery and to get clearance for discharge. The doctors team review the patient's recovery during this time with the help of blood tests and imaging scans. Once they feel that everything is on track, the patient is discharged.

There are around 1 Hospitals hospitals in Kaunas that offer Abdominoperineal Resection to international patients. These hospitals have the required expertise as well as infrastructure available to handly patients who need Abdominoperineal Resection. Also, these hospitals follow the necessary guidelines as required by the medical associations for the treatment of Abdominoperineal Resection patients.

Author

Dr. Vijita Jayan

BPT, MPT (Neuro)

18 Years of Experience

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

Reviewer

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

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Abdominoperineal Resection Cost in Kaunas