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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 Medicana Camlica Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

4.2 ( 2 Reviews )
  • ISO 9001
  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in Medicana Camlica Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)9039 - 18357276742 - 531128
Standard Abdominoperineal Resection7475 - 13763216818 - 399575
Laparoscopic Abdominoperineal Resection9172 - 15760267421 - 466436
Robotic Abdominoperineal Resection11108 - 18265332134 - 547108
  • Address: Kısıklı Mahallesi, MEDICANA ?amlıca Hospital, ?sküdar/Istanbul, Turkey
  • Facilities related to Medicana Camlica Hospital: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance
Abdominoperineal Resection in Hisar Intercontinental Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in Hisar Intercontinental Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)8922 - 18047273786 - 545434
Standard Abdominoperineal Resection7336 - 13696221369 - 412928
Laparoscopic Abdominoperineal Resection9144 - 15896270183 - 465388
Robotic Abdominoperineal Resection11189 - 17650337729 - 537731
  • Address: Saray Mah, Hisar Intercontinental Hospital, Site Yolu Cad, ?mraniye/Istanbul, Turkey
  • Facilities related to Hisar Intercontinental Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Abdominoperineal Resection in NMC Specialty Hospital: Costs, Top Doctors, and Reviews

Abu Dhabi, United Arab Emirates

  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Types of Abdominoperineal Resection in NMC Specialty Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (AED)
Abdominoperineal Resection (Overall)13568 - 2241050542 - 83677
Standard Abdominoperineal Resection11281 - 1981241163 - 75527
Laparoscopic Abdominoperineal Resection13244 - 2118749952 - 77553
Robotic Abdominoperineal Resection16064 - 2235358696 - 81349
  • Address: NMC Specialty Hospital Abu Dhabi - Abu Dhabi - United Arab Emirates
  • Facilities related to NMC Specialty Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Abdominoperineal Resection in NMC Specialty Hospital, Al Nahda: Costs, Top Doctors, and Reviews

Dubai, United Arab Emirates

4.7 ( 2 Reviews )
  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in NMC Specialty Hospital, Al Nahda and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (AED)
Abdominoperineal Resection (Overall)13713 - 2200149333 - 81738
Standard Abdominoperineal Resection11422 - 2004041290 - 75116
Laparoscopic Abdominoperineal Resection13218 - 2173449632 - 76997
Robotic Abdominoperineal Resection15578 - 2274156732 - 83584
  • Address: NMC Speciality Hospital Al Nahda Dubai - Dubai - United Arab Emirates
  • Facilities related to NMC Specialty Hospital, Al Nahda: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Abdominoperineal Resection in Tel Aviv Sourasky Medical Center -Ichilov Hospital: Costs, Top Doctors, and Reviews

Tel Aviv, Israel

  • Joint Commission International, or JCI

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

  • The center possesses high end infratsructure with latest technologies which are upbgraded on a regular basis.
  • There are 60 departments in Tel Aviv Sourasky Medical Center
  • The center has as many as 6 institutions:
  • Ichilov General Hospital
  • Ted Arison Medical Tower
  • Dana-Dwek Children's Hospital
  • Sammy Ofer Heart & Brain Building
  • Adams Health Science & Rehabilitation Building (in the planning stage)
  • Lis Maternity and Women's Hospital
  • Patient Care Numbers (annual) are as follows:
    • 400,000 patients
    • 36,000 surgeries
    • 220,000 ER visits
    • 12,000 births
  • The bed capacity of the center is 1300.
  • Good success rates during treatment for the majority of conditions.
Abdominoperineal Resection in Max Smart Super Speciality Hospital: Costs, Top Doctors, and Reviews

Delhi, India

3.9 ( 2 Reviews )
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in Max Smart Super Speciality Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8082 - 12186666791 - 1000355
Standard Abdominoperineal Resection6114 - 10152499670 - 834905
Laparoscopic Abdominoperineal Resection8126 - 12161665274 - 998034
Robotic Abdominoperineal Resection8106 - 15185664883 - 1249718
  • Address: Max Smart Super Speciality Hospital, PRESS ENCLAVE ROAD, Saket Institutional Area, Saket, New Delhi, Delhi, India
  • Facilities related to Max Smart Super Speciality Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Abdominoperineal Resection in Acibadem Kadikoy Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in Acibadem Kadikoy Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)8993 - 17649270705 - 534310
Standard Abdominoperineal Resection7244 - 13358219593 - 400087
Laparoscopic Abdominoperineal Resection9098 - 15860267179 - 471559
Robotic Abdominoperineal Resection11288 - 18054341961 - 552443
  • Address: Acbadem Mahallesi, Acbadem Kadk
  • Facilities related to Acibadem Kadikoy Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Abdominoperineal Resection in Thumbay University Hospital, Ajman: Costs, Top Doctors, and Reviews

Ajman, United Arab Emirates

4.1 ( 1 Reviews )
  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in Thumbay University Hospital, Ajman and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (AED)
Abdominoperineal Resection (Overall)13258 - 2270649989 - 81813
Standard Abdominoperineal Resection11224 - 2063040526 - 75104
Laparoscopic Abdominoperineal Resection13259 - 2184148915 - 76945
Robotic Abdominoperineal Resection15670 - 2277156832 - 82804
  • Address: Thumbay University Hospital - Ajman - United Arab Emirates
  • Facilities related to Thumbay University Hospital, Ajman: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance
Abdominoperineal Resection in Meliva Kardiolita Hospital, Kaunas: Costs, Top Doctors, and Reviews

Kaunas, Lithuania

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Kardiolita Hospital, Kaunas located in Kaunas, Lithuania 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. Also listed below are some of the most prominent infrastructural details:

  • An outpatient department, 56-beds for inpatients
  • 13 advanced operation theatres
  • 24-hour intensive care unit
  • Emergency Department
  • Gynecology Center
  • Vascular Center
  • ENT Center
  • Neurology Center
  • General and Abdominal Surgery Center
  • The staff also takes care of your air travel and pick & drop facility
  • Gynecology Center
  • Vascular Center
  • ENT Center
  • Neurology Center
  • General and Abdominal Surgery Center
  • The staff also takes care of your air travel and pick & drop facility
Abdominoperineal Resection in Sagrat Cor University Hospital: Costs, Top Doctors, and Reviews

Barcelona, Spain

The Hospital is an amalgamation of a group of buildings located in the Eixample Left of Barcelona, ??between Paris, Viladomat, and London streets. It has a capacity of 350 adjustable beds and first-class hotel-like services inpatient rooms. Currently, it has a workforce of about 1100 Healthcare Professionals. 

In order to treat patients with intensive care, the Hospital has 10 beds in its ICU for critically ill patients. 

The Hospital has launched a few more things to improve customers’ services- 4 new Operating Rooms and a New Diagnostic Imaging Service.

Other Services

  • Surgical Block with 13 major surgery operating rooms, 5 operating rooms for Minor Surgeries, 1 for Dermatology Service
  • The Non-Admitted Surgery Unit (UCSI) Major Outpatient Surgery (CMA) has a total of 14 units to care for major surgery patients who do not require admission to hospitalization
  • Rehabilitation Center with treatment boxes and group therapy room, Gym, Medical visit offices, priests rooms, waiting rooms, and others 
  • 7 Examination Cabinets 
  • The pediatric patients waiting room 
  • Emergency Center-12 emergency boxes, 1 double resuscitation box, and 7 rapid visit offices

Types of Room

Double Rooms, Double Rooms for Individual Use, and Single Rooms; equipped with an easy-to-use electrical movement control system and a nursing call/warning system, located at the head of the bed, a sofa-bed for the companion, and a bathroom with a shower. They are also equipped with television and telephone.

A cafeteria/Restaurant is also available for the patients or visitors.

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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.
  • Choose your preferred option: Choose the treatment option that suits you the best.

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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