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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 Acibadem Altunizade Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI
  • ISO 9001

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

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)8909 - 17801266068 - 548985
Standard Abdominoperineal Resection7377 - 13272223328 - 398330
Laparoscopic Abdominoperineal Resection8818 - 16048271121 - 471075
Robotic Abdominoperineal Resection11017 - 18253338165 - 543626
  • Address: Altunizade, Acbadem Hastanesi - Altunizade, Yurtcan Soka,
  • Facilities related to Acibadem Altunizade Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Abdominoperineal Resection in Burjeel Hospital, Abu Dhabi: Costs, Top Doctors, and Reviews

Abu Dhabi, United Arab Emirates

  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in Burjeel Hospital, Abu Dhabi and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (AED)
Abdominoperineal Resection (Overall)13657 - 2212650038 - 83365
Standard Abdominoperineal Resection11484 - 2001641448 - 74720
Laparoscopic Abdominoperineal Resection13542 - 2100049996 - 77806
Robotic Abdominoperineal Resection15569 - 2274357807 - 82378
  • Address: Burjeel Hospital - Abu Dhabi - United Arab Emirates
  • Facilities related to Burjeel Hospital, Abu Dhabi: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance
Abdominoperineal Resection in Acibadem University Hospital Atakent: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Types of Abdominoperineal Resection in Acibadem University Hospital Atakent and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)9046 - 18296275433 - 547373
Standard Abdominoperineal Resection7275 - 13663223925 - 414106
Laparoscopic Abdominoperineal Resection9200 - 16029271643 - 483479
Robotic Abdominoperineal Resection11138 - 17680333650 - 553150
  • Address: Halkal Merkez Mahallesi, Acibadem University Hospital Atakent, Halkal Altnehir stanbul Caddesi, K
  • Facilities related to Acibadem University Hospital Atakent: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Abdominoperineal Resection in Lenmed Ahmed Kathrada Private Hospital: Costs, Top Doctors, and Reviews

Johannesburg, South Africa

Apart from in-detail treatment procedures available, Lenmed Ahmed Kathrada Private Hospital located in Johannesburg, South Africa 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:

  • 254 bed capacity
  • 24 Hour Emergency section
  • Cardiac Catheterisation Laboratory
  • Clinical Trial Centre
  • Sports Medicine Centre
  • Centre of Excellence for Strokes
  • 24 hour trauma and emergency
  • Many medical specialties
  • Option of Minimally invasive laparoscopic surgery in Gynaecology, Urology and General Surgery
  • Patient shuttle facility
  • International patient coordinators
Abdominoperineal Resection in Life Kingsbury Hospital: Costs, Top Doctors, and Reviews

Cape Town, South Africa

Apart from in-detail treatment procedures available, Life Kingsbury Hospital located in Cape Town, South Africa 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:

  • The hospital has the capacity of 226 beds
  • 11 Operating rooms
  • Intensive Care Unit (ICU)
  • Neonatal Intensive Care Unit (NICU)
  • General ward, Paediatric ward and Maternity ward
  • Accident & Emergency Unit with a Doctor on-duty 24*7
  • Free Advanced Life Support Paramedic Response Vehicle, which cannot be considered as an Ambulance as it is not responsible for patients transfer. It is to stabilize a patient whilst an ambulance is dispatched

Abdominoperineal Resection in Iranian Hospital: Costs, Top Doctors, and Reviews

Dubai, United Arab Emirates

Types of Abdominoperineal Resection in Iranian Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (AED)
Abdominoperineal Resection (Overall)13527 - 2252149342 - 83866
Standard Abdominoperineal Resection11208 - 2044641027 - 73771
Laparoscopic Abdominoperineal Resection13298 - 2128249463 - 77872
Robotic Abdominoperineal Resection15987 - 2295458351 - 82237
  • Address: Iranian Hospital - Al Wasl Road - Dubai - United Arab Emirates
  • Facilities related to Iranian Hospital: SIM, TV inside room, Airport Transfer, Choice of Meals
Abdominoperineal Resection in Istinye University Bahcesehir - LIV Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI
  • ISO 9001

Types of Abdominoperineal Resection in Istinye University Bahcesehir - LIV Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)8970 - 17941276548 - 548226
Standard Abdominoperineal Resection7235 - 13376224562 - 409653
Laparoscopic Abdominoperineal Resection8898 - 15656266716 - 478838
Robotic Abdominoperineal Resection11028 - 17634344306 - 541529
  • Address: Ak Veysel Mah, stinye
  • Facilities related to Istinye University Bahcesehir - LIV Hospital: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance
Abdominoperineal Resection in Medical Park Ordu Hospital: Costs, Top Doctors, and Reviews

Ordu, Turkey

  • Joint Commission International, or JCI

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

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)9057 - 17624270391 - 548510
Standard Abdominoperineal Resection7174 - 13775221680 - 401819
Laparoscopic Abdominoperineal Resection8999 - 15727275163 - 471955
Robotic Abdominoperineal Resection11277 - 18282343016 - 553855
  • Address: Akyaz, Medical Park Ordu Hastanesi, ehit Ali Gaffar Okkan Caddesi, Altnordu/Ordu, Turkey
  • Facilities related to Medical Park Ordu Hospital: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Religious Facilities
Abdominoperineal Resection in Taoufik Clinique: Costs, Top Doctors, and Reviews

Tunis, Tunisia

  • ISO 9001

Taoufik Clinique located in Tunis, Tunisia is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Laboratory services and High end medical imaging equipment is present at this clinic.
  • Emergency care services are also available.
  • The clinic has a health checkup center as well as an operation theatre.
  • The important disciplines at this hospital are cardiology, orthopedics, cosmetic surgery, oncology, urology, bariatric surgery, and gastroenterology among others.
  • Some cardiac conditions treated here are peripheral vascular disorder, heart valves disorder, cardiac muscle diseases, and acute and chronic pericarditis.
  • Orthopedic and spine surgery which also includes treatment of sports related injuries, and disorders of both upper and lower limb.
  • Cancer treatment is performed in Taoufik Clinique through chemotherapy, surgery, and radiation therapy.
Abdominoperineal Resection in Riyadh Care Hospital: Costs, Top Doctors, and Reviews

Riyadh, Saudi Arabia

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Riyadh Care Hospital located in Riyadh, Saudi Arabia 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:

  • This healthcare organisation is equipped with modern and advanced healthcare instruments.
  • Riyadh Care Hospital has a 325 bed capacity.
  • The Department of Emergency and Department of Children Emergency work round the clock to provide the best of emergency care services.
  • Respiratory Therapy and Dialysis Center takes care of the respiratory and renal conditions of the patients.
  • Medical Rehabilitation Center provides the best in class rehabilitation and recovery services to the patients.
  • Laboratory, Blood Bank, Physical Therapy and Radiology departments are also present.
  • Intensive & Medium Care Unit for Children and Newborns and Intensive Care Unit for Cardiac conditions are also worth a mention for the outstanding work they are doing.
  • Pharmacies for inpatients, outpatients and emergencies.
  • The Intensive Care Unit is working to provide care for advanced and critical care.

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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