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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 Rabin Medical Center: Costs, Top Doctors, and Reviews

Petah Tikva, Israel

  • Joint Commission International, or JCI

Rabin Medical Center located in Petah Tikva, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • There are as many as 6 intensive care departments at the center.
  • The hospital has been able to treat and manage complex heart conditions by exceptional cardiologists.
  • The Emergency care services of the hospital have also helped a large number of patients.
  • The Cardiothoracic Center is also worth mentioning for the care it has provided to patients.
  • The hospital is also recognised for its organ transplantation facilities with 70% of organ transplants in Israel done in Beilinson Hospital.
  • Bone Marrow transplants performed at the Davidoff Cancer Research and Treatment Center have been a boon for many patients.
Abdominoperineal Resection in University Hospital: Costs, Top Doctors, and Reviews

Basel, Switzerland

University Hospital located in Basel, Switzerland is accredited by ISO. Also listed below are some of the most prominent infrastructural details:

  • The bed capacity of the hospital is 670.
  • There are as many as 50 clinics.
  • A 24/7 emergency unit is also present for all kinds of medical emergencies.
  • The hospital has been home to various innovative applications in medicine in addition to the regular advancements in every specialty.
  • There are centers which are committed to providing care in certain specialties such as for heart, strokes, stem cells, tumors, spine centers and lungs.
  • There is an international patient care center which brings respite to medical travellers coming to University Hospital Basel and provides all kinds of assistance to them from travel, transfer arrangements, stay bookings, accommodation, appointments and translators.
Abdominoperineal Resection in VM Medical Park Ankara: Costs, Top Doctors, and Reviews

Ankara, Turkey

  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in VM Medical Park Ankara and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)8930 - 17969271686 - 541398
Standard Abdominoperineal Resection7458 - 13398220730 - 405593
Laparoscopic Abdominoperineal Resection8968 - 15806270937 - 482572
Robotic Abdominoperineal Resection11015 - 17676343456 - 533874
  • Address: Kent Koop Mah., Medical Park Ankara Hastanesi, 1868. Sok., Batkent/Yenimahalle/Yenimahalle/Ankara, Turkey
  • Facilities related to VM Medical Park Ankara: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance
Abdominoperineal Resection in Medical Park Tokat Hospital: Costs, Top Doctors, and Reviews

Tokat, Turkey

  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in Medical Park Tokat Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)8873 - 18358266446 - 554565
Standard Abdominoperineal Resection7412 - 13439218894 - 408012
Laparoscopic Abdominoperineal Resection9064 - 15988271738 - 464315
Robotic Abdominoperineal Resection11332 - 17746345642 - 547812
  • Address: Yeilrmak, Medical Park Tokat Hastanesi, Vali Zekai G
  • Facilities related to Medical Park Tokat Hospital: Health Insurance Coordination, Mobility Accessible Rooms, Private Rooms, Religious Facilities, Nursery / Nanny Services
Abdominoperineal Resection in VM Medical Park Samsun Hospital: Costs, Top Doctors, and Reviews

Samsun, Turkey

  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in VM Medical Park Samsun Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)8905 - 17857275505 - 532140
Standard Abdominoperineal Resection7456 - 13450220622 - 410109
Laparoscopic Abdominoperineal Resection9161 - 16013269240 - 469369
Robotic Abdominoperineal Resection11349 - 17669331749 - 547444
  • Address: Cumhuriyet, Medical Park, 39. Sokak, Atakum/Samsun, Turkey
  • Facilities related to VM Medical Park Samsun Hospital: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance
Abdominoperineal Resection in Centro Medico Teknon: Costs, Top Doctors, and Reviews

Barcelona, Spain

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Centro Medico Teknon 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:

  • 60,000 square meters of area
  • 211 wards
  • International visitors program to manage the patient base
  • Cardiovascular Institute and Oncology Institute as specialised centres
  • Assisted Reproduction availaibility
  • Checkup program
  • Plastic & Reparative surgery capacities

Abdominoperineal Resection in Hospital Quironsalud Barcelona: Costs, Top Doctors, and Reviews

Barcelona, Spain

  • Joint Commission International, or JCI
  • ISO 9001

Apart from in-detail treatment procedures available, Hospital Quironsalud Barcelona 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 50 healthcare specialties in the hospital.
  • It has different kinds of rooms such as over 130 private rooms, 56 suits, and more than 150 consultation rooms.
  • There are more than 14 operation theatres and 1 robotic surgery theatre is also present.
  • Technologically advanced devices are present in the hospital such as 1 linear accelerator, 2 CAT and 3 MRI scanners.
  • Accommodation, flight booking, transfers and interpreters are available.
Abdominoperineal Resection in Max Super Speciality Hospital, Patparganj: Costs, Top Doctors, and Reviews

Delhi, India

4.6 ( 1 Reviews )
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

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

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8102 - 12191665830 - 1003646
Standard Abdominoperineal Resection6066 - 10185499136 - 831497
Laparoscopic Abdominoperineal Resection8159 - 12176666926 - 998390
Robotic Abdominoperineal Resection8099 - 15205667653 - 1250629
  • Address: Max Super Speciality Hospital, Patparganj, I.P.Extension, Patparganj, Delhi, India
  • Facilities related to Max Super Speciality Hospital, Patparganj: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Abdominoperineal Resection in Farrer Park Hospital: Costs, Top Doctors, and Reviews

Singapore, Singapore

Apart from in-detail treatment procedures available, Farrer Park Hospital located in Connexion, Singapore 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 medical centre is linked to the Farrer Park Hospital Complex, Connexion, Singapore
  • The focus of the hospital is to bring together two essential elements: those of healthcare combined with hospitality.
  • There is a building with 20 different stories which comprises Owen Link, hotel and spa.
  • Personal attention and patient care focus is maintained with a system in place of listening, analysing, evaluating and then implementing a treatment plan.
  • 121 bed capacity
  • Technology and innovations help provide the best of medical and surgical treatment options.
  • Professionally implemented international patient care systems
  • Suites: Cardiovascular, day surgery, endoscopy, major surgery, nuclear medicine, radiation oncology, and inpatient suite
  • Diagnostic imaging and intensive care unit
  • 24 hour emergency clinic and pharmacy
  • Facilities such as dialysis, nutrition services, rehab centre, and teaching clinic
Abdominoperineal Resection in The London Clinic: Costs, Top Doctors, and Reviews

London, United Kingdom

  • Joint Commission International, or JCI

We, The London Clinic family, take pride in our reputation as a multi-disciplined healthcare facility. With skilled nurses and expert consultants, our medical teams are always focused to deliver the best individualized medical care. More than 1,000 nursing, clinical, and support staff are currently working with us to give our patients an extensive range of treatments. We use cutting-edge technologies to ensure a comprehensive range of healthcare services. Not only that, in order to make your stay with us comfortable enough, we equip our patient bedrooms with:

  • Electronic patient-controlled bed
  • En-suite bathroom
  • Air conditioning system
  • Remote-controlled television and radio
  • Telephone with direct dial facility
  • Nurse call system
  • Personal safe
  • Wi-fi

Patients from all over the world fly to us to get their procedures done by our specialist doctors, which is why we also provide our patient's concierge services. Our concierge services include:

  • Booking travel and hotel accommodation
  • Arranging London tour
  • Making theatre and restaurant reservation

The London Clinic has a zero-tolerance policy when it comes to hygiene and cleanliness. Our dedicated housekeeping team cleans every room every day between 8.00 am and 5.00 pm. They are also entitled to supply fresh towels every day and clean the rooms properly between patients.

We also have a day surgery unit based on the third floor at 20 Devonshire Place to make sure a hassle-free surgery as well as post-surgery care for our patients. Our cancer care unit at 22 Devonshire Place is also among our key services.

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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