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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 International St. Mary's Hospital: Costs, Top Doctors, and Reviews

Seoul, South Korea

  • Joint Commission International, or JCI

International St. Mary's Hospital located in Seoul, South Korea is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 3 Basements and 5 Floors Building
  • International Healthcare Center
  • Korean Traditional Medicine Hospital
  • Hybrid Operation Theatres
  • Conference Rooms
  • Seminar Rooms
  • Auditorium
  • Intensive Care Units
  • Hospice ward
  • Chapel
  • Emergency Medical Center
  • Pathology
  • Outpatient Pharmacy
  • 15 Professional Treatment Centers
  • 35 Clinical Departments
  • Transplant Centers
  • Admission & Discharge Center
  • Counseling office
  • Convenience Store
  • Animal Laboratories
  • Parking in basement
  • Food court for patients & visitors
  • Coffee Shop
  • Free Wi-fi is available throughout the Hospital premises
Abdominoperineal Resection in Sunway Medical Centre: Costs, Top Doctors, and Reviews

Kuala Lumpur, Malaysia

  • The Australian Council on Healthcare Standards (ACHS)

Sunway Medical Centre has initiated a comprehensive expansion plan close to its current hospital facility to enhance its ability to provide services to the global market. The new Cancer Radiosurgery Center and Nuclear Medicine Center, which will also house additional Centers of Excellence like the Digestive Health Center and Dialysis Center, marked the completion of Tower C's first phase in October 2016.

Abdominoperineal Resection in Bangpakok 9 International Hospital: Costs, Top Doctors, and Reviews

Bangkok, Thailand

  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in Bangpakok 9 International Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (THB)
Abdominoperineal Resection (Overall)17107 - 23113611827 - 847542
Standard Abdominoperineal Resection13534 - 20241475732 - 713776
Laparoscopic Abdominoperineal Resection14402 - 22817520286 - 791288
Robotic Abdominoperineal Resection17010 - 23309606153 - 831036
  • Address: Bangpakok 9 International Hospital, International Hospital, Rama II Road, Bang Mot, Chom Thong, Bangkok, Thailand
  • Facilities related to Bangpakok 9 International Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Abdominoperineal Resection in Aster DM Healthcare: Costs, Top Doctors, and Reviews

Dubai, United Arab Emirates

1.0 ( 1 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Types of Abdominoperineal Resection in Aster DM Healthcare and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (AED)
Abdominoperineal Resection (Overall)13342 - 2270048623 - 80896
Standard Abdominoperineal Resection11357 - 2013541317 - 74213
Laparoscopic Abdominoperineal Resection13673 - 2178050333 - 79432
Robotic Abdominoperineal Resection15588 - 2279257786 - 84382
  • Address: Aster DM Healthcare - Dubai - United Arab Emirates
  • Facilities related to Aster DM Healthcare: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Abdominoperineal Resection in Medipol Bahçelievler Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Medipol Bahcelievler Hospital is a medical institution providing a full range of medical and individualized approaches to its patients. Medipol has the ambition to bring high quality and maximum security to people in need by employing state-of-the-art technologies in medicine. They ensure that the health of the patients is improved by fashioning unique physician specialty treatment programs.

Medipol Bahcelievler Hospital provides an exceptional position in the healthcare industry with a policy of clear communication, professionalism, and reliability to patient expectations. Medipol Bahçelievler Hospital is situated in the European Side of Istanbul, dedicated to 24-hour health care for you and your loved ones, equipped with a fully functional operation theatre and ICUs with state-of-the-art equipment, laboratory, emergency, and advanced treatment rooms

Abdominoperineal Resection in Medanta - The Medicity: Costs, Top Doctors, and Reviews

Gurgaon, India

3.4 ( 1 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Types of Abdominoperineal Resection in Medanta - The Medicity and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8986 - 13206721852 - 1124629
Standard Abdominoperineal Resection6751 - 11077546711 - 932999
Laparoscopic Abdominoperineal Resection8979 - 13323739473 - 1104611
Robotic Abdominoperineal Resection8991 - 17231744435 - 1377163
  • Address: Medanta The Medicity, Medicity, Islampur Colony, Sector 38, Gurugram, Haryana, India
  • Facilities related to Medanta - The Medicity: Mobility Accessible Rooms, TV in room, Religious Facilities, Health Insurance Coordination, Cafe
Abdominoperineal Resection in NMC Royal Hospital Sharjah: Costs, Top Doctors, and Reviews

Sharjah, United Arab Emirates

3.3 ( 5 Reviews )
  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in NMC Royal Hospital Sharjah and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (AED)
Abdominoperineal Resection (Overall)13304 - 2201049506 - 81413
Standard Abdominoperineal Resection11058 - 2032240763 - 73042
Laparoscopic Abdominoperineal Resection13637 - 2111049965 - 76946
Robotic Abdominoperineal Resection15433 - 2223157331 - 83192
  • Address: NMC Royal Hospital Sharjah - Sharjah - United Arab Emirates
  • Facilities related to NMC Royal Hospital Sharjah: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance
Abdominoperineal Resection in Phyathai 2 International Hospital: Costs, Top Doctors, and Reviews

Bangkok, Thailand

  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in Phyathai 2 International Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (THB)
Abdominoperineal Resection (Overall)16588 - 23532599647 - 832815
Standard Abdominoperineal Resection13354 - 20171475029 - 719292
Laparoscopic Abdominoperineal Resection14340 - 22447530948 - 794852
Robotic Abdominoperineal Resection16606 - 23441598714 - 842548
  • Address: Phyathai 2 Hospital, Phahonyothin Road, Phaya Thai, Thailand
  • Facilities related to Phyathai 2 International Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Abdominoperineal Resection in ParkCity Medical Centre: Costs, Top Doctors, and Reviews

Kuala Lumpur, Malaysia

  • Joint Commission International, or JCI

In Kuala Lumpur, Malaysia, ParkCity Medical Centre is a 300-bed, cutting-edge, interdisciplinary private hospital that provides award-winning private healthcare in an environment of lush vegetation.

Abdominoperineal Resection in Parkway East Hospital: Costs, Top Doctors, and Reviews

Singapore, Singapore

  • Joint Commission International, or JCI

Parkway East Hospital located in Joo Chiat Pl, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Total capacity for 143 beds
  • Hospital rooms are available- Single room, 2-bedded room (8), 4-bedded room (2), Deluxe room, and Orchid/Hibiscus Suite
  • All rooms are equipped with all ensuite facilities like Free wifi, mini fridge, sofa couch, telephone, in-room safe, TV, etc.
  • Maternity wards- Accredited as a baby-friendly hospital under the World Health Organisations Baby-Friendly Hospital Initiative (BFHI)
  • 1 Neonatal Intensive Care Unit (NICU) with 14 cots
  • Intensive Care Unit
  • 1 Operation Theatre with 5 Operating rooms
  • 1 Nursery with 30 cots
  • 1 Parentcraft room
  • 24-hour walk-in-clinic (for emergency)
  • 24-hour Pharmacy

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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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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