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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 Fortis La Femme, Greater Kailash II: Costs, Top Doctors, and Reviews

Delhi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

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
Abdominoperineal Resection in Memorial Atasehir Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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
  • Facilities related to Memorial Atasehir Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Abdominoperineal Resection in Medicana Konya Hospital: Costs, Top Doctors, and Reviews

Konya, Turkey

  • Joint Commission International, or JCI

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
Abdominoperineal Resection in Shanti Mukand Hospital: Costs, Top Doctors, and Reviews

Delhi, India

5.0 ( 1 Reviews )
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

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
  • Facilities related to Shanti Mukand Hospital: Choice of Meals, TV inside room, Accommodation, Airport Transfer
Abdominoperineal Resection in VPS Lakeshore Hospital: Costs, Top Doctors, and Reviews

Kochi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • ISO 9001

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

Istanbul, Turkey

  • Joint Commission International, or JCI

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
Abdominoperineal Resection in Parkside Private Hospital: Costs, Top Doctors, and Reviews

London, United Kingdom

Apart from in-detail treatment procedures available, Parkside Private Hospital located in London, United Kingdom 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, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • Patient bedrooms with ensuite facilities like TV, internet access, direct dial phone, etc.
  • 4 Operating Rooms
  • 69 registered beds
  • 21 Outpatient Consulting rooms
  • 4 minor procedure rooms
  • 11-bed day unit
  • Endoscopy suite
  • Pathology Laboratory
  • Pharmacy
  • Cafeteria/Restaurant
  • Car Parking
Abdominoperineal Resection in Hannibal International Clinic: Costs, Top Doctors, and Reviews

Tunis, Tunisia

Apart from in-detail treatment procedures available, Hannibal International Clinic located in Tunis, Tunisia 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, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • It has a capacity of 180 beds spread all over the 11 floors
  • Patients have comfort during their stay. Each room is furnished with LCD Screen, free Wi-fi, Phone, Safe, Refrigerator, Newspaper service, Mobility access
  • Diverse rooms option such as normal rooms, suite rooms, etc., are available for the patients
  • It has state-of-the-art equipment and infrastructure; in order to provide a restful and comfortable environment to the patients
  • As it is near the Tunisia- Carthage Airport, therefore it gets efficient for the hospital to serve International patients
  • Operating rooms are equipped with MEDglas concept consisting of MEDglas door & wall
Abdominoperineal Resection in Jimenez Diaz Foundation University Hospital: Costs, Top Doctors, and Reviews

Madrid, Spain

  • ISO 9001
  • Joint Commission International, or JCI

With about 80,000 m 2 , it is equipped with the highest sanitary technology and offers a wide portfolio of services-

  • Day hospital
  • 11 central operating rooms
  • 3 operating rooms for CMA
  • 6 Delivery rooms
  • 686 beds
  • Ambulatory major surgery
  • Emergencies
  • Pediatric emergency
  • ICU
  • Neonatal ICU
  • External Consultations
Abdominoperineal Resection in Manipal Hospital, Dwarka: Costs, Top Doctors, and Reviews

Delhi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Types of Abdominoperineal Resection in Manipal Hospital, Dwarka and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8133 - 12148668451 - 997582
Standard Abdominoperineal Resection6101 - 10160497426 - 831398
Laparoscopic Abdominoperineal Resection8127 - 12199666220 - 994488
Robotic Abdominoperineal Resection8143 - 15280665583 - 1250357
  • Address: Manipal Hospital Dwarka, Palam Vihar, Sector 6 Dwarka, Dwarka, New Delhi, Delhi, India
  • Facilities related to Manipal Hospital, Dwarka: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation

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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.
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Author

Nimra Haseeb
Nimra Haseeb

MSc Biochemistry

4 Years of Experience

Miss Nimra Haseeb is a medical researcher and a scientific content writer. She holds a Bachelor’s degree in Biotechnology and a Master’s in Biochemistry from Integral University, Lucknow. With strong experience in healthcare research, she specializes in secondary research, clinical data analysis, and evidence-based medical writing. Her work focuses on transforming complex scientific and medical information into clear, accurate, and reliable healthcare content for patients and healthcare audiences. She is also experienced in interpreting medical studies and healthcare trends to deliver well-researched and informative content that supports better health awareness and decision-making.. View More

Reviewer

Dr Prateek Varshney
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

Last Reviewed - January 2026