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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 Fortis Flt. Lt. Rajan Dhall Hospital: Costs, Top Doctors, and Reviews

Delhi, India

4.8 ( 2 Reviews )
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Types of Abdominoperineal Resection in Fortis Flt. Lt. Rajan Dhall Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8088 - 12133669067 - 994159
Standard Abdominoperineal Resection6119 - 10124499637 - 828322
Laparoscopic Abdominoperineal Resection8154 - 12133667688 - 993846
Robotic Abdominoperineal Resection8088 - 15173666035 - 1251369
  • Address: Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj, Pocket 1, Sector B, Vasant Kunj, New Delhi, Delhi, India
  • Facilities related to Fortis Flt. Lt. Rajan Dhall Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Abdominoperineal Resection in Medeor Hospital: Costs, Top Doctors, and Reviews

Delhi, India

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

Types of Abdominoperineal Resection in Medeor Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8151 - 12221663005 - 996450
Standard Abdominoperineal Resection6088 - 10136499689 - 831445
Laparoscopic Abdominoperineal Resection8081 - 12201666498 - 998457
Robotic Abdominoperineal Resection8150 - 15278666052 - 1245393
  • Address: Rockland Hospital, Block B, Qutab Institutional Area, New Delhi, Delhi, India
  • Facilities related to Medeor Hospital : Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Abdominoperineal Resection in Asian Institute of Medical Sciences: Costs, Top Doctors, and Reviews

Faridabad, India

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

Types of Abdominoperineal Resection in Asian Institute of Medical Sciences and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8138 - 12144668499 - 1002102
Standard Abdominoperineal Resection6120 - 10149498956 - 832891
Laparoscopic Abdominoperineal Resection8145 - 12193664416 - 994840
Robotic Abdominoperineal Resection8114 - 15270668784 - 1247051
  • Address: Asian Institute of Medical Sciences, Sector 21A, Faridabad, Haryana, India
  • Facilities related to Asian Institute of Medical Sciences: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Abdominoperineal Resection in Fortis Hospital, Mulund: Costs, Top Doctors, and Reviews

Mumbai, India

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

Types of Abdominoperineal Resection in Fortis Hospital, Mulund and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8869 - 13501733105 - 1104389
Standard Abdominoperineal Resection6773 - 11251552965 - 931550
Laparoscopic Abdominoperineal Resection9069 - 13246738184 - 1085799
Robotic Abdominoperineal Resection8884 - 16879740312 - 1353757
  • Address: Fortis Hospital Mulund, Industrial Area, Bhandup West, Mumbai, Maharashtra, India
  • Facilities related to Fortis Hospital, Mulund: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Abdominoperineal Resection in Max Super Speciality Hospital, Saket: Costs, Top Doctors, and Reviews

Delhi, India

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

Max Smart Super Speciality Hospital, Saket, is a 250-bed tertiary care hospital awarded NABH accreditation, which provides advanced medical care in various specialities such as Cardiac Sciences, Orthopaedics, Neurology, Urology, Kidney Transplant, Paediatrics, and Obstetrics & Gynaecology. The hospital provides quality, safe, integrated, and patient-centric medical care using modular OTs, ICUs, Cath Labs, CT, MRI and Dialysis units.

Abdominoperineal Resection in Manipal Hospital, Hebbal: Costs, Top Doctors, and Reviews

Bangalore, India

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

Types of Abdominoperineal Resection in Manipal Hospital, Hebbal and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8147 - 12226666718 - 999593
Standard Abdominoperineal Resection6084 - 10128500026 - 830793
Laparoscopic Abdominoperineal Resection8148 - 12173663148 - 1000196
Robotic Abdominoperineal Resection8108 - 15246662684 - 1250464
  • Address: Columbia Asia Hospital, Rajaji Nagar, Bengaluru, Karnataka, India
  • Facilities related to Manipal Hospital, Hebbal: Choice of Meals, SIM, TV inside room, Accommodation, Airport Transfer
Abdominoperineal Resection in Clear Medi Hospital, Karkardooma: Costs, Top Doctors, and Reviews

Delhi, India

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

Types of Abdominoperineal Resection in Clear Medi Hospital, Karkardooma and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)8087 - 12199667857 - 1001643
Standard Abdominoperineal Resection6089 - 10116498244 - 832288
Laparoscopic Abdominoperineal Resection8100 - 12209668907 - 994497
Robotic Abdominoperineal Resection8146 - 15253665703 - 1249446
  • Address: ClearMedi Hospital Vasundhara, Sector 15, Vasundhara, Ghaziabad, Uttar Pradesh, India
  • Facilities related to Clear Medi Hospital, Karkardooma: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Abdominoperineal Resection in American Oncology Institute: Costs, Top Doctors, and Reviews

Hyderabad, India

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

Types of Abdominoperineal Resection in American Oncology Institute and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)9034 - 13652724003 - 1082529
Standard Abdominoperineal Resection6871 - 11213554125 - 903299
Laparoscopic Abdominoperineal Resection8885 - 13626742129 - 1117811
Robotic Abdominoperineal Resection9028 - 17089753918 - 1387650
  • Address: American Oncology Institute, Nallagandla, Serilingampally, Hyderabad, Telangana, India
  • Facilities related to American Oncology Institute: Interpreter, SIM, TV inside room, Accommodation, Airport Transfer
Abdominoperineal Resection in Herzliya Medical Center: Costs, Top Doctors, and Reviews

Herzliya, Israel

Apart from in-detail treatment procedures available, Herzliya Medical Center located in Herzliya, Israel has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • 350+ leading doctors in senior positions working with the Hospital
  • Single & Double Standard Rooms
  • VIP Suites and Decor rooms
  • 20 Departments
  • 19 Outpatient Clinics
  • 12 Institutes
  • 4 hospitalization Offices
  • 7 Operating rooms
  • 2 Pharmacies
  • 12 VIP chambers
  • IVF Centre
  • Top specialties offered by the Hospital are- Hysterography, Eye Microsurgery, Ablation, Amniocentesis, Angiography, Ankylosing Spondylitis, Aorta Surgery, Arthroplasthy, Bone Marrow Biopsy, Brain Tumor Surgery, Breast Cancer, Breast Lift, etc.
Abdominoperineal Resection in Sheba Medical Center: Costs, Top Doctors, and Reviews

Ramat Gan, Israel

  • Joint Commission International, or JCI

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

  • Sheba Medical Center has a 1900 bed capacity.
  • It also consists of as many as 120 departments and clinics.
  • Sheba treats a large number of national and international patients from many Asian and European countries among others.
  • International patient care services in Sheba are very strong, this also includes the travel, stay, transfer related coordination with translator services.
  • The healthcare personnel working in Sheba Medical Center are fluent in English, documents are also available in this common denominator language.
  • Rehabilitation services are available for long term recovery and return back to a normal life and activity. This could include conditions related to Orthopedics, Neurology, psychiatry, old age and injuries etc.

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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
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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

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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