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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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Batra Hospital
Delhi, India
- More than 35 years of trusted healthcare service
- Multi-specialty tertiary care with over 30 departments
- Comprehensive preventive, diagnostic, and therapeutic care under one roof
- International patient coordination team for seamless overseas care
Seven Hills Hospital
Mumbai, India
Types of Abdominoperineal Resection in Seven Hills Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Abdominoperineal Resection (Overall) | 8803 - 13313 | 721982 - 1122176 |
| Standard Abdominoperineal Resection | 6603 - 11439 | 547900 - 922111 |
| Laparoscopic Abdominoperineal Resection | 9099 - 13306 | 727171 - 1096522 |
| Robotic Abdominoperineal Resection | 9155 - 16642 | 732075 - 1389793 |
- Address: SevenHills Hospital, Shivaji Nagar JJC, Marol, Andheri East, Mumbai, Maharashtra, India
- Facilities related to Seven Hills Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Wockhardt Hospital - A new Age Hospital
Mumbai, India
Types of Abdominoperineal Resection in Wockhardt Hospital - A New Age Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Abdominoperineal Resection (Overall) | 8092 - 12176 | 667835 - 996793 |
| Standard Abdominoperineal Resection | 6102 - 10124 | 497979 - 834209 |
| Laparoscopic Abdominoperineal Resection | 8143 - 12178 | 662867 - 1003263 |
| Robotic Abdominoperineal Resection | 8130 - 15282 | 663993 - 1244924 |
- Address: Wockhardt Hospitals, Agripada, Mumbai, Maharashtra, India
- Facilities related to Wockhardt Hospital - A New Age Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Sri Ramachandra Medical Centre
Chennai, India
2.9 ( 1 Reviews )
Types of Abdominoperineal Resection in Sri Ramachandra Medical Centre and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Abdominoperineal Resection (Overall) | 8108 - 12221 | 668537 - 1001745 |
| Standard Abdominoperineal Resection | 6092 - 10123 | 497285 - 836039 |
| Laparoscopic Abdominoperineal Resection | 8116 - 12193 | 663674 - 999412 |
| Robotic Abdominoperineal Resection | 8119 - 15196 | 668478 - 1247093 |
- Address: Sri Ramachandra Medical Centre, Sri Ramachandra Nagar, Porur, Chennai, Tamil Nadu, India
- Facilities related to Sri Ramachandra Medical Centre : SIM, TV inside room, Accommodation, Choice of Meals
Jaypee Hospital
Noida, India
Jaypee Hospital located in Noida, India is accredited by ISO, NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- 525 beds in the first phase
- 150 Critical Care beds
- 325 ward beds with Suite, Deluxe, Twin Sharing, and Economy options
- 18 Modular OTs
- 4 Cardiac Catheterization Lab with unqie Hybrid Operating Room
- 24 bedded Advanced Neonatal ICUs20 bedded Dialysis Units
- 2 Linear Accelerator (IMRT, VMAT, I
- GRT), Wide Bore CT Simulator, one Brachytherapy Suite
- True Beam STx Linear Accelerator
- 2 MRI (3.0 Tesla) with High-Intensity Focused Ultrasound
- 64 Slice PET CT, Gamma Camera, Dual Head 6 Slice SPECT CT
- 256 Slice CT Scan, CT Simulation
- Amongst the few GOLD LEED-certified hospital buildings in India
- Appointment Scheduling
- Flow motion 64 Slice PET CT technology
- Pick and drop facility from/to the Airport
- Foreign exchange facility
- Treatment packages
- Visa assistance
- Admission in the hospital
- Wi-Fi/internet service in the room
- Travel arrangement for patient & attendant after discharge
- Tele-consults after discharge
- Dedicated Guest House for International Patients maintained by Jaypee Hospital
- In-house translators for patient’s comfort
- Assistance in getting doctor’s opinion
- Registration with the Foreigners Regional Registration Office
- Accommodation arrangements after discharge
- Accommodation arrangement for the accompanying attendant
- Customized diet for patient and attendant
- Laundry services
- Prayer room
- Dialysis facility for 60 patients
- Cadaver organs
- Blood bank facilities
- Advanced Laboratory facilities
- Diagnostic and Radiology facilities
- High-end Ultrasound facilities
Fortis Hiranandani Hospital
Mumbai, India
Types of Abdominoperineal Resection in Fortis Hiranandani Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Abdominoperineal Resection (Overall) | 8138 - 12129 | 663346 - 1001443 |
| Standard Abdominoperineal Resection | 6083 - 10193 | 501092 - 834245 |
| Laparoscopic Abdominoperineal Resection | 8121 - 12152 | 668412 - 999594 |
| Robotic Abdominoperineal Resection | 8080 - 15257 | 664461 - 1242839 |
- Address: Fortis Hiranandani Hospital Vashi, Sector 10A, Vashi, Navi Mumbai, Maharashtra, India
- Facilities related to Fortis Hiranandani Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Fortis Hospital, Shalimar Bagh
Delhi, India
4.5 ( 4 Reviews )
- Fortis Hospital, Shalimar Bagh, New Delhi, is a leading multi-super-speciality hospital established in 2010, known for advanced medical technology and compassionate patient care.
- The hospital has 375 beds, including 166 ICU beds, and features 10 modular operating theatres along with specialised ICUs and Level III NICU/PICU. Fortis Shalimar Bagh offers care across Cardiology, Neurosciences, Oncology, Orthopaedics, Transplants, Urology, and Mother & Child Health, supported by NABH and NABL accreditation.
- Equipped with cutting-edge technology like the Da Vinci Surgical Robot, PET-CT Scanner, and CORI Robotic System, the hospital is recognised for excellence in treatment outcomes, patient comfort, and multidisciplinary care, making it a trusted destination for both domestic and international patients.
Aakash Healthcare Super Speciality Hospital
Delhi, India
Aakash Healthcare Super Speciality Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- One of the biggest tertiary care hospitals in India
- Facility is fusion of state of the art technology, competent clinicians, and world-class infrastructure
- 230 beds
- 70 bedded medical and surgical and Critical Care Unit
- Ward Bed Options- Twin, Deluxe, Sharing and Economy
- Pneumatic Tube System
- Ambulance Services 24x7
- 15 Bedded dialysis unit
- Advanced Neonatal ICU
- Advanced imaging services, including magnetic resonance imaging, computed tomography scanning, digital mammography, ultrasound
- 8 modular OTs
- Flat Panel Cath Labs
- LASIK - SMILE Suite
- Wellness Lounge
- State-of-the-art diagnostic equipment
- 15 Dialysis beds
- 24x7 ‘Trauma & Emergency Center
- Dedicated blood bank
- 24x7 comprehensive patient care.
- Deployed high-end technologies & smart digital system
- Robust Hospital Information Systems to meet complex medical needs of patients
- Robotic assisted surgeries
- International Patients Lounge
- Airport Pick-up and Drop
- Accommodation and Food for Attendant
- Language Interpreter Services
- 4 triage beds, a dedicated sample collection room, 6 observation beds, and highly skilled emergency staff
- Robotic knee replacement surgery
- ATM
- Lounge for visitors
- Internet Access: The whole facility is Wi-Fi enabled
- Travel Desk: Provides an all-round patient care.
- 24x7 pharmacy
Aster Medcity
Kochi, India
Types of Abdominoperineal Resection in Aster Medcity and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Abdominoperineal Resection (Overall) | 8095 - 12216 | 668362 - 1002840 |
| Standard Abdominoperineal Resection | 6097 - 10113 | 500687 - 830173 |
| Laparoscopic Abdominoperineal Resection | 8128 - 12135 | 666757 - 999340 |
| Robotic Abdominoperineal Resection | 8150 - 15216 | 667815 - 1251726 |
- Address: Aster Medcity Hospital, South Chittoor, Kochi, Kerala, India
- Facilities related to Aster Medcity: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Pushpawati Singhania Research Institute
Delhi, India
Types of Abdominoperineal Resection in Pushpawati Singhania Research Institute and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Abdominoperineal Resection (Overall) | 8159 - 12192 | 664777 - 1001378 |
| Standard Abdominoperineal Resection | 6074 - 10152 | 498208 - 836074 |
| Laparoscopic Abdominoperineal Resection | 8090 - 12151 | 665441 - 1000814 |
| Robotic Abdominoperineal Resection | 8107 - 15161 | 668455 - 1248660 |
- Address: Pushpawati Singhania Research Institute, Phase II, Sheikh Sarai, New Delhi, Delhi, India
- Facilities related to Pushpawati Singhania Research Institute: 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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