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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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Get Help Explore Hospitals ( 171 )
Guven Hospital
Ankara, Turkey
Types of Abdominoperineal Resection in Guven Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Abdominoperineal Resection (Overall) | 9105 - 17690 | 275559 - 538926 |
| Standard Abdominoperineal Resection | 7242 - 13780 | 223048 - 398017 |
| Laparoscopic Abdominoperineal Resection | 9045 - 15679 | 270949 - 481898 |
| Robotic Abdominoperineal Resection | 11264 - 18291 | 338309 - 551394 |
- Address: Kavakldere, G
- Facilities related to Guven Hospital: Choice of Meals, Interpreter, TV inside room, Accommodation, Airport Transfer
Dr. Rela Institute and Medical Centre
Chennai, India
Types of Abdominoperineal Resection in Dr. Rela Institute and Medical Centre and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Abdominoperineal Resection (Overall) | 8858 - 13351 | 751688 - 1112400 |
| Standard Abdominoperineal Resection | 6749 - 11049 | 552937 - 928437 |
| Laparoscopic Abdominoperineal Resection | 8900 - 13202 | 733502 - 1127879 |
| Robotic Abdominoperineal Resection | 8973 - 16919 | 734227 - 1359133 |
- Address: Dr. Rela Institute & Medical Centre - Multispeciality Hospital in Chennai, India, CLC Works Road, Nagappa Nagar, Chromepet, Chennai, Tamil Nadu, India
- Facilities related to Dr. Rela Institute and Medical Centre: Interpreter, SIM, Accommodation, Airport Transfer
Yatharth hospital
Delhi / NCR, India
- The hospital features over 400 beds with advanced infrastructure for multi-speciality treatment.
- Much of the facility is dedicated to ICU units with the latest life-saving equipment.
- Advanced medical imaging systems include a 64-slice cardiac CT scanner, a dual-head gamma camera, a 16-slice PET-CT scanner, and a fan-beam bone density scanner (BMD).
- The radiology setup operates through a fully integrated RIS-HIS system for smooth diagnostics and reporting.
- The hospital offers high-resolution colour Doppler ultrasound systems for precise vascular and soft tissue imaging.
- The cardiology wing is equipped with a Philips FD20/10 cath lab, enhanced by modern stent-boost imaging technology.
- Cutting-edge tools, such as optical coherence tomography (OCT), intravascular ultrasound (IVUS), and fractional flow reserve (FFR), support advanced heart diagnostics.
- Facilities include rotablator technology for hardened arteries and an Ensite Velocity cardiac mapping system for complex arrhythmias.
- A fully functional hybrid endovascular suite supports combined surgical and interventional heart procedures.
- The ICU and NICU areas feature high-frequency ventilators, central pressure monitoring, and advanced bedside diagnostic tools.
- Life-support systems include intra-aortic balloon pumps, invasive blood pressure monitoring, and bedside percutaneous tracheostomy.
- Patient safety and comfort are enhanced with temperature-controlled blankets, bedside echocardiography, and mobile X-ray systems.
- Operation theatres are fitted with navigation-assisted systems for knee replacement and MEP monitoring for spine surgeries.
- Fiberoptic bronchoscopes, PCA pumps for pain control, and SSEP monitoring during neurosurgeries enhance surgical precision.
Vinmec Times City
Ha noi, Vietnam
- Vinmec Times City International Hospital is the first hospital to be launched within the Vinmec Healthcare System.
- It is located in the Times City urban complex in Hanoi, offering a central and convenient location for patients.
- The hospital spans 24,670 square meters with a modern infrastructure of seven floors above ground and two basement levels.
- It is the first general hospital in Vietnam to receive JCI accreditation, a globally recognised certification for healthcare quality and safety.
- The medical team comprises highly qualified Vietnamese and international doctors with extensive clinical expertise.
- Vinmec Times City provides comprehensive healthcare services, including outpatient care, inpatient treatment, and emergency services.
- The hospital features specialised departments, including Internal Medicine, Paediatrics, Obstetrics and Gynaecology, Orthopaedics, and Neurology.
- It is equipped to perform advanced medical procedures, including robotic-assisted surgery and organ transplants.
- The facility features a world-class IVF centre and offers dedicated services in endocrinology, dermatology, and traditional medicine.
- On-site imaging, radiology, and laboratory departments ensure fast and accurate diagnostic support.
- With a strong focus on patient-centred care, the hospital offers a safe, comfortable, and internationally standardised medical experience.
Vinmec Phu Quoc Hospital
Phu Quoc, Vietnam
- Phu Quoc Island lacked access to modern, high-quality healthcare infrastructure suitable for both its residents and the growing number of tourists.
- The local healthcare system faced challenges in meeting international standards for emergency, diagnostic, and speciality care.
- There was a strong demand for a facility that could offer comprehensive and reliable medical services across a wide range of specialities.
- Vinmec Phu Quoc General Hospital was launched in June 2015 as part of the Vinmec Healthcare System to close this healthcare gap.
- Spanning over 10,000 square meters, the hospital comprises six stories and features nearly 150 patient beds to cater to a diverse range of medical needs.
- Operates in line with internationally recognised standards, such as those outlined by the Joint Commission International (JCI), to ensure patient safety and service excellence.
- Outfitted with advanced diagnostic and treatment technologies, including MRI, CT scanners, digital X-rays, and more to support high-precision care.
- Maintains 24/7 emergency response capabilities to address critical cases at any time.
- Engages highly qualified healthcare providers, including doctors and specialists who have trained and worked at prestigious hospitals both within Vietnam and internationally.
- The hospital’s design emphasises eco-friendliness and natural lighting, fostering a therapeutic environment for patients.
- To offer premium healthcare services on Phu Quoc Island, aligned with international benchmarks and suitable for both domestic and global patients.
- To contribute to Vinmec’s vision of becoming a leader in academic medicine through research, education, and clinical excellence.
- To ensure that every patient receives compassionate, ethical, and highly skilled care tailored to their unique health needs.
- To position Vinmec Phu Quoc as a trusted medical destination that combines advanced technology, modern infrastructure, and exceptional patient service.
Casa di Cura La Madonnina
milan, Italy
- Casa di Cura La Madonnina is a renowned multidisciplinary private clinic in Milan, Italy. It provides premium healthcare services with a focus on advanced diagnostics, personalised care, and surgical excellence. The clinic offers state-of-the-art operating rooms, luxury patient rooms, and an exclusive patient experience for both Italian and international patients. It is recognised for its expertise in fields such as fertility and IVF, cardiology, plastic surgery, and digestive endoscopy.
- It integrates clinical excellence with a high standard of comfort and privacy, making it one of the most prestigious private healthcare institutions in Italy.
Apollo Hospitals Bannerghatta
Bangalore, India
Types of Abdominoperineal Resection in Apollo Hospitals Bannerghatta and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Abdominoperineal Resection (Overall) | 9138 - 13319 | 729358 - 1106297 |
| Standard Abdominoperineal Resection | 6837 - 11345 | 553070 - 906871 |
| Laparoscopic Abdominoperineal Resection | 9157 - 13277 | 743480 - 1121367 |
| Robotic Abdominoperineal Resection | 8886 - 16902 | 721974 - 1391992 |
- Address: Apollo Hospitals Bannerghatta Road - Best Hospital in bangalore, Krishnaraju Layout, Amalodbhavi Nagar, Panduranga Nagar, Bengaluru, Karnataka, India
- Facilities related to Apollo Hospitals Bannerghatta: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
HCG Kalinga Rao Road
Bangalore, India
Types of Abdominoperineal Resection in HCG Kalinga Rao Road and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Abdominoperineal Resection (Overall) | 8114 - 12166 | 666128 - 998704 |
| Standard Abdominoperineal Resection | 6085 - 10133 | 499034 - 832863 |
| Laparoscopic Abdominoperineal Resection | 8097 - 12183 | 665392 - 1003523 |
| Robotic Abdominoperineal Resection | 8093 - 15243 | 664177 - 1252950 |
- Address: HCG Hospital, 2nd Cross Road, KHB Block Koramangala, 5th Block, Koramangala, Bengaluru, Karnataka, India
- Facilities related to HCG Kalinga Rao Road: SIM, TV inside room, Accommodation, Choice of Meals
Sarvodaya Hospital and Research Centre
Faridabad, India
4.9 ( 4 Reviews )
Types of Abdominoperineal Resection in Sarvodaya Hospital and Research Centre and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Abdominoperineal Resection (Overall) | 8094 - 12123 | 668918 - 999018 |
| Standard Abdominoperineal Resection | 6097 - 10171 | 498680 - 831842 |
| Laparoscopic Abdominoperineal Resection | 8114 - 12193 | 666068 - 1000090 |
| Robotic Abdominoperineal Resection | 8109 - 15246 | 663666 - 1252389 |
- Address: Sarvodaya Hospital, Sector 8, Faridabad, Haryana, India
- Facilities related to Sarvodaya Hospital and Research Centre: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Fortis Hospital
Bangalore, India
5.0 ( 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) | 8127 - 12144 | 667433 - 997976 |
| Standard Abdominoperineal Resection | 6076 - 10186 | 498388 - 828855 |
| Laparoscopic Abdominoperineal Resection | 8118 - 12219 | 668972 - 994624 |
| Robotic Abdominoperineal Resection | 8115 - 15278 | 667003 - 1252147 |
- Address: Fortis Hospital, Sahyadri Layout, Panduranga Nagar, Bangalore, Karnataka, 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.
- 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.
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