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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 Zulekha Hospital, Sharjah: Costs, Top Doctors, and Reviews

Sharjah, United Arab Emirates

0.5 ( 1 Reviews )
  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in Zulekha Hospital Sharjah and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (AED)
Abdominoperineal Resection (Overall)13287 - 2213750225 - 82610
Standard Abdominoperineal Resection11026 - 1987240506 - 73314
Laparoscopic Abdominoperineal Resection13512 - 2105949752 - 78367
Robotic Abdominoperineal Resection15651 - 2261556641 - 84236
  • Address: Zulekha Hospital - Sharjah - United Arab Emirates
  • Facilities related to Zulekha Hospital Sharjah: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Abdominoperineal Resection in Ruby Hall Clinic: Costs, Top Doctors, and Reviews

Pune, India

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

Types of Abdominoperineal Resection in Ruby Hall Clinic and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)7575 - 11387609485 - 913434
Standard Abdominoperineal Resection5577 - 9254460451 - 756957
Laparoscopic Abdominoperineal Resection7461 - 11396620404 - 925989
Robotic Abdominoperineal Resection7466 - 14137611559 - 1148096
  • Address: Ruby Hall Clinic, Sassoon Road, Sangamvadi, Pune, Maharashtra, India
  • Facilities related to Ruby Hall Clinic: Choice of Meals, SIM, TV inside room, Accommodation, Airport Transfer
Abdominoperineal Resection in Apollo Spectra Hospitals: Costs, Top Doctors, and Reviews

Delhi, India

  • Joint Commission International, or JCI
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Types of Abdominoperineal Resection in Apollo Spectra Hospitals and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8107 - 12177664838 - 998293
Standard Abdominoperineal Resection6102 - 10123496922 - 834576
Laparoscopic Abdominoperineal Resection8087 - 12171663368 - 997784
Robotic Abdominoperineal Resection8116 - 15230665237 - 1251483
  • Address: Apollo Spectra Hospitals, Block 67, Karol Bagh, Delhi, India
  • Facilities related to Apollo Spectra Hospitals: TV inside room, Airport Transfer, SIM
Abdominoperineal Resection in Assuta Hospital: Costs, Top Doctors, and Reviews

Tel Aviv, Israel

  • Joint Commission International, or JCI

Assuta Hospital located in Tel-Aviv, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Annual numbers for Assuta Hospital group
    • 92,000 surgeries
    • 683,000 healthcare examinations, ambulatory treatments
    • 440,000 imaging tests
    • 4,000 (approx.) cardiac catheterization diagnosis, treatments
    • 16,000 (approx.) IVF treatments
    • 500 (approx.) kinds of surgical procedures
  • Assuta Hospital, Tel Aviv, is an important healthcare facility which is recognised for being a surgical specialist.
  • Even in the surgical specialty, Assuta Hospital, Tel Aviv performs superlative Minimally Invasive Surgeries.
  • Impressive imaging technology is present in the hospital, such as CT (advanced), PET-CT, MRI and two-head nuclear imaging camera.
  • 15 Operating Theatres
  • 200 plus beds
  • Resuscitation units
  • 2 monitoring laboratories

Abdominoperineal Resection in Yashoda Hospital, Malakpet: Costs, Top Doctors, and Reviews

Hyderabad, India

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

Types of Abdominoperineal Resection in Yashoda Hospital, Malakpet and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8151 - 12208664382 - 998403
Standard Abdominoperineal Resection6068 - 10189497124 - 830496
Laparoscopic Abdominoperineal Resection8145 - 12146665710 - 1000411
Robotic Abdominoperineal Resection8142 - 15156664158 - 1252676
  • Address: Yashoda Hospitals - Malakpet, Jamal Colony, Old Malakpet, Hyderabad, Telangana, India
  • Facilities related to Yashoda Hospital, Malakpet: Choice of Meals, Interpreter, TV inside room, Accommodation, Airport Transfer
Abdominoperineal Resection in Anadolu Medical Center: Costs, Top Doctors, and Reviews

Kocaeli, Turkey

  • Joint Commission International, or JCI
  • ISO 9001

Types of Abdominoperineal Resection in Anadolu Medical Center and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)9153 - 17735272118 - 536472
Standard Abdominoperineal Resection7409 - 13713218433 - 413216
Laparoscopic Abdominoperineal Resection9101 - 15464270826 - 483644
Robotic Abdominoperineal Resection11217 - 18236337671 - 551372
  • Address: Cumhuriyet Mahallesi, Anadolu Salk Merkezi, Cumhuriyet Cd., Gebze/Kocaeli, Turkey
  • Facilities related to Anadolu Medical Center: Choice of Meals, SIM, TV inside room, Accommodation, Airport Transfer
Abdominoperineal Resection in Czech Medical Center: Costs, Top Doctors, and Reviews

Brno, Czechia

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Czech Medical Center located in Brno, Czechia 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:

  • A streamlined and well developed process for International patients at Czech Medical Center, Brno, Czechia.
  • It is the most specialised medical center providing complex care.
  • The center possesses the latest technologically upgraded equipment.
  • Really less waiting times, generally between four to six weeks
  • Best treatment provided to the patients by world class specialists
  • The center was awarded, first place in Europe, with NIAHOSM certificate.
  • The center is in the possession of many more quality certificates.
Abdominoperineal Resection in University Hospital Quironsalud Madrid: Costs, Top Doctors, and Reviews

Madrid, Spain

  • Joint Commission International, or JCI
  • ISO 9001

Apart from in-detail treatment procedures available, University Hospital Quironsalud Madrid located in Madrid, Spain 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:

  • 54,000 square meters is the area of the hospital.
  • It has huge healthcare capacities with an annual number of 300,000 plus consultations and surgical procedures.
  • The hospital has 39 medical as well as surgical disciplines.
  • There are a variety of rooms available in the hospital which includes 235 individual rooms, as many as 57 suites with 4 royal rooms, 14 Intensive Care unit beds, 8 pediatric ICU beds and 18 Neonatal ICU beds.
  • There are over 70 out-patient clinics present in the hospital.
  • Quironsalud Madrid University Hospital, Madrid has 21 advanced operation rooms.
  • It also possesses one da Vinci surgical robot.
  • The international patient care of the hospital is top notch.
Abdominoperineal Resection in Dexeus University Hospital: Costs, Top Doctors, and Reviews

Barcelona, Spain

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Dexeus University Hospital located in Barcelona, Spain 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:

  • There are more than 450 medical professionals working in Dexeus University Hospital, Barcelona, Spain.
  • Facilities include 4 royal suites, 166 single rooms, 13 operating theatres, 564 parking spaces, 5 delivery rooms, day hospital, 140 consultation rooms.
  • The very latest technological and functional equipment and treatment applications.
  • Technological equipment include 1 CAT scanner, 1 PET-CT scanner, 3 MRI scanners, 10 ultrasound machines, 2 neurosurgery surgical microscopes, and 14 operating tables.
  • Care services include Obstetrics area with 24-hour emergency care service, Neonatology Unit and Level III Neonatal ICU, Lung Cancer Early Diagnosis Programme, Rehabilitation and Physiotherapy, Epilepsy Advanced Diagnosis and Emergency Surgery Unit, Congenital Cardiopathy, Growth Disorders and Intensive Care Unit (ICU).
  • Personalised treatment of patients is available.
  • Focus on research based treatment processes and academics.
  • Main international insurance companies are available to provide the best options to the patients.
  • Multilingual personalised care available for patients per their needs and requirements.
Abdominoperineal Resection in Quironsalud Torrevieja Hospital: Costs, Top Doctors, and Reviews

Torrevieja, Spain

  • ISO 9001

Quironsalud Torrevieja Hospital located in Torrevieja (Alicante), Spain is accredited by ISO. Also listed below are some of the most prominent infrastructural details:

  • The national and international partners of Quironsalud Torrevieja Hospitalmake it a healthcare centre of excellence.
  • The technological upgrades in the hospital have made it the choice of patients in specialties such as Nephrology, Neurology, Orthopedics, Cardiac surgery etc.
  • There are over 35 medical specialties in the hospital.
  • The number of private rooms in the hospital are more than 70 and 45 plus consultation rooms and more than 6 operation theatres.
  • The number of suites are 4 suites and there are 4 royal suites.
  • Ultrasound machines, linear accelerators and even PET-CT, MRI, CAT scan options are present.

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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

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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