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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 Burjeel Specialty Hospital, Sharjah: Costs, Top Doctors, and Reviews

Sharjah, United Arab Emirates

  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in Burjeel Specialty Hospital, Sharjah and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (AED)
Abdominoperineal Resection (Overall)13234 - 2231949724 - 83436
Standard Abdominoperineal Resection11326 - 2026940607 - 73915
Laparoscopic Abdominoperineal Resection13501 - 2096349263 - 77103
Robotic Abdominoperineal Resection15539 - 2201356582 - 83705
  • Address: Burjeel Specialty Hospital, Sharjah - Al Kuwait Street - Sharjah - United Arab Emirates
  • Facilities related to Burjeel Specialty Hospital, Sharjah: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance
Abdominoperineal Resection in Woodlands Hospital: Costs, Top Doctors, and Reviews

Darlington, United Kingdom

A 38-bedded hospital, Woodlands Hospital is supported by about 150 experienced doctors. It provides the highest standards of modern medical care and is BUPA accredited for its breast care services. All the staff at the hospital are totally committed to ensuring that patients are confident and comfortable with all aspects of their visit. It has resident medical officers available 24/7.  Woodlands Hospital has an MRI scanner, an endoscopy unit, and a fully equipped gymnasium in addition to the two laminar flow theaters. It treats NHS-funded patients besides self-funding and insured patients. The hospital has access to the latest equipment and offers private facilities to patients in Richmond, Darlington, and Barnard Castle.

Abdominoperineal Resection in Ekol: Costs, Top Doctors, and Reviews

Izmir, Turkey

  • ISO 9001

Ekol Hospitals, located in Izmir, Turkey, offers a revolutionary approach to healthcare with its unique integrated model. The hospital is made up of two general hospitals and three specialized medical centers, boasting a total of 250 beds. With a team of 130 highly qualified surgeons and over 500 healthcare professionals, Ekol Hospitals is equipped with state-of-the-art technology to provide exceptional care. The hospital’s Health and Rehabilitation Centre, which was acquired from a hotel space, ensures a comfortable and convenient environment for patients, offering both excellent medical services and access to local attractions. Ekol Hospitals proudly serves a diverse international clientele, with medical staff fluent in English, German, French, and Turkish, and offers competitively priced treatment options. Accredited by respected global agencies, Ekol Hospitals is committed to delivering top-tier healthcare to patients from around the world.

Abdominoperineal Resection in Ara Damansara Medical Centre: Costs, Top Doctors, and Reviews

Kuala Lumpur, Malaysia

  • Joint Commission International, or JCI

Situated at the junction of Petaling Jaya and Shah Alam, close to the Oasis Ara, Ara Damansara Medical Centre boasts a serene, luxurious ambiance.

The Centre has been awarded several prestigious awards such as the Global Health Asia Pacific Awards 2023, Newsweek Best Specialized Hospital APAC 2023, Healthcare Asia Awards 2023, and Malaysian Healthcare Wellness Excellence.

Abdominoperineal Resection in Arab Medical Center: Costs, Top Doctors, and Reviews

Amman, Jordan

  • Joint Commission International, or JCI
  • The hospital offers specialised and high-quality medical care to both local and international patients.
  • It offers 24/7 emergency services with experienced staff and dedicated rooms for children and patients with infectious diseases.
  • AMC performs advanced surgeries, including those for the brain, heart, bones, and eyes.
  • The hospital has modern medical equipment and diagnostic tools for accurate testing and treatment.
  • It includes speciality clinics for heart, cancer, brain, diabetes, and more.
  • AMC supports critical care units like the Intensive Care Unit (ICU), Coronary Care Unit (CCU), and dialysis unit.
  • It ensures patient comfort through clean rooms, professional service, and luxury accommodation options.
  • The hospital promotes medical education and awareness through services like the Arabi Podcast.
  • AMC actively supports medical tourism and is known as a trusted referral hospital in the region.
  • It focuses on continuous quality improvement and compassionate care for every patient.
  • AMC has a loyalty program (Arabi Care Card) that offers benefits and discounts to regular patients.
  • The hospital ensures easy accessibility due to its central location near major landmarks and hotels in Amman.
Abdominoperineal Resection in Apollo Hospital International Limited: Costs, Top Doctors, and Reviews

Ahmedabad, India

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

Types of Abdominoperineal Resection in Apollo Hospital International Limited and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8085 - 12229664309 - 999109
Standard Abdominoperineal Resection6098 - 10132498242 - 833987
Laparoscopic Abdominoperineal Resection8152 - 12157666248 - 996552
Robotic Abdominoperineal Resection8123 - 15290664841 - 1245417
  • Address: Apollo Hospital, Prabhat Chowk, 61, Ghatlodiya, Chanakyapuri, Ahmedabad, Gujarat, India
  • Facilities related to Apollo Hospital International Limited: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Abdominoperineal Resection in Manipal Hospitals Goa, Dona Paula: Costs, Top Doctors, and Reviews

Panjim, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Types of Abdominoperineal Resection in Manipal Hospitals Goa, Dona Paula and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8145 - 12156667563 - 997450
Standard Abdominoperineal Resection6077 - 10194500167 - 835286
Laparoscopic Abdominoperineal Resection8109 - 12132663713 - 1002881
Robotic Abdominoperineal Resection8097 - 15158663362 - 1247244
  • Address: Manipal Hospital, Panjim, Goa, India
  • Facilities related to Manipal Hospitals Goa, Dona Paula: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Abdominoperineal Resection in Metro Hospital: Costs, Top Doctors, and Reviews

Noida, India

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

Types of Abdominoperineal Resection in Metro Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)7414 - 11172615702 - 929359
Standard Abdominoperineal Resection5647 - 9250458223 - 760608
Laparoscopic Abdominoperineal Resection7479 - 11314606386 - 918161
Robotic Abdominoperineal Resection7598 - 13895611676 - 1160906
  • Address: Metro Hospital & Heart Institute, Buddh Vihar, Block X, Sector 12, Noida, Uttar Pradesh, India
  • Facilities related to Metro Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Abdominoperineal Resection in Sharda Hospital: Costs, Top Doctors, and Reviews

Noida, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Types of Abdominoperineal Resection in Sharda Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)7528 - 11181607508 - 924322
Standard Abdominoperineal Resection5655 - 9397459343 - 757111
Laparoscopic Abdominoperineal Resection7478 - 11182621778 - 907404
Robotic Abdominoperineal Resection7528 - 14035618179 - 1167728
  • Address: Sharda Health City, Knowledge Park III, Greater Noida, Uttar Pradesh, India
  • Facilities related to Sharda Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Abdominoperineal Resection in Fortis Hospital: Costs, Top Doctors, and Reviews

Mohali, India

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

Types of Abdominoperineal Resection in Fortis Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8096 - 12226667490 - 1001108
Standard Abdominoperineal Resection6112 - 10173501028 - 834365
Laparoscopic Abdominoperineal Resection8133 - 12194669032 - 994573
Robotic Abdominoperineal Resection8136 - 15221663414 - 1249671
  • Address: Fortis Hospital Mohali, Sector 62, Sahibzada Ajit Singh Nagar, Punjab, India
  • Facilities related to Fortis Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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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

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