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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):
- 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.
| Country | Cost | Local_currency |
|---|---|---|
| India | USD 5400 | 449010 |
| United States | USD 40050 | 40050 |
| United Kingdom | USD 6606 - 166118 | 5219 - 131233 |
| Turkey | USD 10000 | 301400 |
| Singapore | USD 39000 | 52260 |
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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Vinmec Hai Phong
Ha noi, Vietnam
- Vinmec Hai Phong International Hospital has been providing medical services since June 2018.
- It is located at a strategic intersection in Le Chan District, Hai Phong, offering convenient access for patients.
- The hospital covers nearly 30,000 square meters and includes eight stories above ground and one basement level.
- With a capacity of 200 inpatient beds, it delivers modern and comfortable care in a well-designed facility.
- The hospital serves thousands of outpatients annually, providing comprehensive consultations and treatments.
- The hospital performs a wide range of minimally invasive surgeries, including laparoscopic colectomy, joint replacement, and bronchoscopy, promoting faster recovery and less pain.
- It handles complex emergency procedures like resuscitation for cardiac arrest, severe trauma, and critical care conditions with high success rates.
- Specialised obstetric and gynaecological surgeries are conducted, such as hysterectomy and fertility procedures, using advanced laparoscopic techniques for improved outcomes.
- Patients benefit from a private, respectful environment with attentive care focused on their well-being.
- The medical staff includes highly skilled and compassionate doctors, known for their dedication and professionalism.
- Physicians regularly undergo training and collaborate internationally to keep up with the latest medical advancements.
- The hospital is equipped with cutting-edge diagnostic tools, including a 640-slice CT scanner, a 3.0 Tesla MRI, multifunctional ventilators, and a Cath Lab with 2D DSA technology.
- Vinmec Hai Phong is part of the Vinmec Healthcare System, the only private network in Vietnam with JCI-accredited hospitals.
- It plays a vital role in Northern Vietnam, setting a high standard for healthcare delivery in the region.
- The emergency and intensive care teams have successfully treated complex, life-threatening conditions like cardiac arrest and multiple trauma cases.
- The hospital has pioneered several critical procedures in the region, particularly in the intensive care unit (ICU) and resuscitation care.
- Its surgical department performs minimally invasive procedures such as laparoscopic colectomy, orthopaedic surgeries, and bronchoscopies.
- In women’s health, the hospital has managed high-risk cases like placental complications and eclampsia, with excellent outcomes.
- It also offers advanced laparoscopic gynecologic surgeries, including hysterectomies and infertility treatments.
- Vinmec Hai Phong consistently achieves a patient satisfaction rate above 95%.
- In a government health quality audit, the hospital earned an impressive 4.4 out of 5 rating.
- During the COVID-19 crisis, the hospital swiftly implemented safety protocols and resumed operations within 24 hours of sanitisation.
- Patient testimonials highlight positive experiences, including pain-free recovery after hernia surgery, effective cancer care, and safe childbirth procedures.
Vinmec Ha Long Hospital
Ha noi, Vietnam
- Vinmec Ha Long International Hospital has been providing excellent medical care since 2014 as part of the Vinmec Healthcare System under Vingroup.
- Situated in Ha Long City, Quang Ninh Province, the hospital offers easy access for both residents and visitors to the area.
- The facility spans 12,768 square meters and comprises an 8-story building with an underground level for comprehensive services.
- With 150 patient beds, the hospital serves around 200,000 outpatients annually, ensuring quality care for all.
- A full range of medical specialities is available, including internal medicine, surgery, paediatrics, obstetrics, and gynaecology.
- Patients receive treatment in a safe, comfortable, and hygienic environment that meets strict healthcare standards.
- A team of highly trained doctors, nurses, pharmacists, and technicians delivers care, with many having completed advanced training programs both locally and internationally.
- The hospital maintains close partnerships with other Vinmec hospitals and collaborates with global medical experts for specialised treatments.
- State-of-the-art medical equipment enables accurate diagnostics and effective therapies for patients.
- High patient satisfaction rates reflect the hospital's commitment to compassionate, personalised healthcare services.
- As a member of the Vinmec network, the hospital adheres to international quality benchmarks, offering care that matches global standards.
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Vinmec Central Park International Hospital
Ho Chi Minh, Vietnam
- A modern multi-speciality hospital with 178 inpatient beds across seven floors and three basements.
- Equipped with advanced diagnostic imaging technologies including MRI, CT Scan, X-ray, Ultrasound, and Digital Mammography.
- The cardiology department features state-of-the-art facilities, including cardiovascular intervention suites and advanced echocardiography equipment.
- The Oncology centre offers comprehensive cancer diagnosis and treatment with access to modern radiotherapy and chemotherapy equipment.
- Sophisticated life-support systems and continuous patient monitoring technology support ICU and emergency units.
- Operating theatres are equipped with high-tech surgical instruments and infection control systems to ensure safety and precision.
- Neonatal and pediatric care units are equipped with specialised equipment to support the health of newborns and children.
- Gastroenterology and endoscopy services utilise high-definition endoscopic imaging for accurate diagnosis and minimally invasive procedures.
- Laboratory services certified to international standards offer fast and accurate testing, utilising advanced automation.
- Pharmacy services ensure the availability of a wide range of medications with stringent quality control.
- Integrated IT systems facilitate online patient registration, appointment scheduling, and real-time access to medical results.
- Pain management and anaesthesia departments utilise modern techniques to enhance patient comfort during procedures.
- Specialised centres for obstetrics, gynaecology, and general surgery deliver comprehensive care with expert medical teams.
- Focus on personalised treatment plans developed through collaboration with international medical experts and continuous training.
IRCCS Ospedale San Raffaele
milan, Italy
- Premier multi-speciality research hospital specialising in molecular medicine, gene therapy, and cardiovascular care.
- Part of Gruppo San Donato (GSD) and affiliated with Università Vita-Salute San Raffaele.
- Treats around 1.5 million patients annually, including many international visitors.
- Designated as a European Reference Centre (ERN GUARD-Heart) for complex heart conditions.
- Offers advanced services in cardiac surgery, electrophysiology, oncology, urology, gene therapy, plastic surgery, and diagnostic imaging.
- Equipped with state-of-the-art operating theatres, diagnostic labs, and 1,640 patient beds.
- Provides multilingual support, patient-focused care, and on-site pharmacies, labs, and cafeterias.
- Ranked among the World’s Best Specialised Hospitals (2025) for cardiology and cardiac surgery.
Wockhardt Hospital, Umrao
Mumbai, India
Types of Abdominoperineal Resection in Wockhardt Hospital, Umrao and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Abdominoperineal Resection (Overall) | 8142 - 12182 | 663061 - 993951 |
| Standard Abdominoperineal Resection | 6106 - 10147 | 501251 - 829167 |
| Laparoscopic Abdominoperineal Resection | 8148 - 12193 | 667877 - 1001428 |
| Robotic Abdominoperineal Resection | 8108 - 15282 | 669052 - 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
Apollo Hospital
Chennai, India
Types of Abdominoperineal Resection in Apollo Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Abdominoperineal Resection (Overall) | 8854 - 13372 | 737760 - 1086771 |
| Standard Abdominoperineal Resection | 6633 - 11284 | 561317 - 907165 |
| Laparoscopic Abdominoperineal Resection | 8912 - 13274 | 732390 - 1088494 |
| Robotic Abdominoperineal Resection | 9091 - 16659 | 734861 - 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
Apollo Multispecialty Hospitals
Kolkata, India
Types of Abdominoperineal Resection in Apollo Multispecialty Hospitals and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Abdominoperineal Resection (Overall) | 9112 - 13522 | 748216 - 1085246 |
| Standard Abdominoperineal Resection | 6789 - 11381 | 555961 - 933780 |
| Laparoscopic Abdominoperineal Resection | 8872 - 13420 | 735545 - 1116771 |
| Robotic Abdominoperineal Resection | 8888 - 17037 | 753932 - 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
BGS Gleneagles Global Hospitals
Bangalore, India
Types of Abdominoperineal Resection in BGS Gleneagles Global Hospitals and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Abdominoperineal Resection (Overall) | 8925 - 13533 | 751070 - 1121233 |
| Standard Abdominoperineal Resection | 6606 - 11446 | 546316 - 942877 |
| Laparoscopic Abdominoperineal Resection | 9087 - 13627 | 724782 - 1083126 |
| Robotic Abdominoperineal Resection | 8816 - 16618 | 748205 - 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
Manipal Hospital, Yeshwantpur
Bangalore, India
Types of Abdominoperineal Resection in Manipal Hospital, Yeshwantpur and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Abdominoperineal Resection (Overall) | 8850 - 13367 | 734777 - 1114335 |
| Standard Abdominoperineal Resection | 6696 - 11150 | 554706 - 923279 |
| Laparoscopic Abdominoperineal Resection | 8970 - 13304 | 724323 - 1085078 |
| Robotic Abdominoperineal Resection | 9040 - 16617 | 722608 - 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
Fortis Hospital
Noida, India
3.0 ( 1 Reviews )
Types of Abdominoperineal Resection in Fortis Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Abdominoperineal Resection (Overall) | 8157 - 12158 | 667418 - 1001144 |
| Standard Abdominoperineal Resection | 6063 - 10163 | 501476 - 831176 |
| Laparoscopic Abdominoperineal Resection | 8129 - 12148 | 666576 - 1000762 |
| Robotic Abdominoperineal Resection | 8106 - 15255 | 667547 - 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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+99Process 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.
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