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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 Care national Hospital: Costs, Top Doctors, and Reviews

Riyadh, Saudi Arabia

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Care National 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. Also listed below are some of the most prominent infrastructural details:

  • International patient care services of Care National Hospital is also at par with global standards. They provide all kinds of assistance to the patients coming from different nationalities to get required treatment.
  • Innovative healthcare practices are employed in the hospital and the healthcare providers routinely go over and above to provide the best treatment that any patient could get.
  • The hospital specialises in providing patients with customised healthcare options.
  • A multispecialty hospital with integrated departments, it has a bed capacity of 459.
  • Homecare services are also routinely provided to the patients of Care National Hospital, Riyadh, Saudi Arabia.
  • Outpatient Clinics include the following:
  • Department of Binoculars
  • Emergency Department
  • Radiology Department
  • Laboratory
  • Blood Bank
  • Department of Physical Therapy
  • Pharmacy
Abdominoperineal Resection in Ezzahra Clinic: Costs, Top Doctors, and Reviews

Ez Zahra, Tunisia

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

Apart from in-detail treatment procedures available, Ezzahra Clinic located in Ez Zahra, Tunisia 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 clinic has a national and international patient base.
  • A cutting edge diagnostic center and an advanced medical imaging platform.
  • There are excellent interventional radiology services.
  • Interventional radiology department comprises of the following:
    • Peripheral infiltration
    • Spinal infiltration
    • Vertebroplasty
    • Guided echo
    • Scan biopsy
  • Medical imaging section possesses the following:
    • 1.5 Tesla MRI
    • Standard radiology
    • Remote controlled table
    • General ultrasound and specialized ultrasound
    • Surgical arches
    • 2 Color Doppler Echo
    • 256 slice scanner
  • Cardiac exam unit comprises of the following:
    • Doppler Cardiac Ultrasound
    • Ligation - esophageal varices
    • Polypectomy
    • Endoscopic gastrostomy
    • Stress Echocardiography
    • ERCP
    • Gastric Fibroscopy
    • Mucosectomy
    • Digestive as well as Respiratory Therapeutic, Diagnostic Examinations
    • Fetal Heart Rate Monitoring (RCF)
    • Colonoscopy
  • Complete Maternity Services are also available at the hospital.
Abdominoperineal Resection in Hospital Ruber International: Costs, Top Doctors, and Reviews

Madrid, Spain

  • ISO 9001

The Hospital has a wide architectural structure that consists of-

  • 90+ consultation rooms
  • 108+ private rooms
  • 15 suites and 3 royal suites
  • 10+ operation theatres
  • Neuro-Rehabilitation unit
  • Popular Specialties- Epilepsy, Neuropsychology, Neuro-Ophthalmology, Neuro-Oncology, Clinical Neurology, Memory Disorders, Movement Disorders, Neuro-rehabilitation

Abdominoperineal Resection in Paracelsus Clinic: Costs, Top Doctors, and Reviews

Lustmuhle, Switzerland

Apart from in-detail treatment procedures available, Paracelsus Clinic located in Lustmuhle, Switzerland 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:

  • Five large buildings that caters to 8000+ outpatients every year
  • Medical staff of the Hospital includes 5 Doctors, 2 Dentists, 40+ nurses
  • Paracelsus Pharmacy
  • Paracelsus Dentistry
  • Culinarium/Restaurant
Abdominoperineal Resection in Baskent University Istanbul Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI
  • ISO 9001

Types of Abdominoperineal Resection in Baskent University Istanbul Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Abdominoperineal Resection (Overall)9142 - 18323271130 - 531451
Standard Abdominoperineal Resection7332 - 13756218817 - 399828
Laparoscopic Abdominoperineal Resection9063 - 15435274239 - 479156
Robotic Abdominoperineal Resection11371 - 18337343903 - 531407
  • Address: Altunizade, BAKENT
  • Facilities related to Baskent University Istanbul Hospital: SIM, TV inside room, Accommodation, Airport Transfer
Abdominoperineal Resection in The Madras Institute of Orthopedics and Traumatology: Costs, Top Doctors, and Reviews

Chennai, India

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

Types of Abdominoperineal Resection in The Madras Institute of Orthopedics and Traumatology and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Abdominoperineal Resection (Overall)7456 - 11241614660 - 913173
Standard Abdominoperineal Resection5537 - 9359458145 - 778129
Laparoscopic Abdominoperineal Resection7383 - 11130610500 - 913141
Robotic Abdominoperineal Resection7526 - 14106605098 - 1142023
  • Address: MIOT International, Mount Poonamallee Road, Sathya Nagar, Manapakkam, Chennai, Tamil Nadu, India
  • Facilities related to The Madras Institute of Orthopedics and Traumatology: Interpreter, SIM, Airport Transfer, Accommodation
Abdominoperineal Resection in Circle Reading Hospital: Costs, Top Doctors, and Reviews

Reading, United Kingdom

Circle Reading Hospital is a multispecialty hospital located in Reading, Berkshire. The infrastructure of the hospital is such that the patient is exposed to the luxurious and friendly environment and not something that seems daunting to them. The hospital offers a wide range of diagnostic and treatment services circle Reading Hospital is a multispecialty hospital located in Reading, Berkshire. The infrastructure of the hospital is such that the patient is exposed to the luxurious and friendly environment and not something that seems daunting to them. The hospital offers a wide range of diagnostic and treatment services to its patients, allowing them to choose the services that they wish to avail themselves in a hassle-free manner. 

Keeping the quality in mind that the patient demands, the hospital has associated itself with some of the best consultants from Berkshire. The presence of some of the most experienced specialists from varied backgrounds, allows the hospital to have an environment that ensures the best possible clinical care for the patients. 

The hospital offers treatment across 15+ specialties and some of the most popular treatments are offered for hip, knee, back, foot & ankle, gastroenterology, gynecology, shoulder & elbow, and gastroenterology.

Circle Reading Hospital offers a very warm and comfortable environment to the patients, from the moment they enter the building, whether for consultation or inpatient stay. 

  • Patient-friendly inpatient rooms
  • 15+ Specialties
  • Especially known for orthopedics and spine surgery
  • Innovative technology

Facilities Provided: 

  • Inpatient rooms with TV, music, and films
  • Private bedrooms with en-suite walk-in shower room
  • Complimentary Wi-Fi
  • Free on-site parking
  • On-site cafe
Abdominoperineal Resection in Shirley Oaks Hospital: Costs, Top Doctors, and Reviews

London, United Kingdom

Shirley Oaks Hospital is a multispeciality hospital established in 1986 and is part of Circle Health Group. The hospital is located on the outskirts of  Croydon in Shirley Oaks Village. The hospital offers a wide range of diagnostic and treatment services to patients allowing them to choose the services that they wish to avail in a hassle-free manner. 

The hospital is a multispecialty facility that offers all types of treatments from 15+ specialties, including general medicine, ophthalmology, gastroenterology, and dermatology. Shirley Oaks Hospital is associated with 80+ consultants from within the UK. 

The hospital offers services and treatments to patients under the age of 18 years and above.

Shirley Oaks Hospital offers a very warm and comfortable environment to the patients, from the moment they enter the building, whether for consultation or inpatient stay. 

  • Patient-friendly inpatient rooms 
  • 15+ Specialties 
  • Especially known for orthopedics and spine surgery 
  • Innovative technology 

Facilities Provided:

  • Inpatient rooms with TV, music, and films 
  • Private bedrooms with en-suite walk-in shower room
  • Complimentary Wi-Fi
  • Free on-site parking
Abdominoperineal Resection in St Edmunds Hospital: Costs, Top Doctors, and Reviews

Bury Saint Edmunds, United Kingdom

St Edmund Hospital has 26 beds with all rooms offering the privacy and comfort of en-suite facilities, views of the gardens, TV, and high-speed Wi-Fi. The hospital has three functional Operation Theatre for minor or major surgeries

The hospital has an imaging department and physiotherapy team based at the hospital to ensure the best care before and after treatment. The Hospital has a dedicated day case recovery area where patients can relax after day case procedure until discharged from the hospital.

Room service is provided to all inpatients by our catering team. All dietary needs can be catered for at the hospital.

The hospital has car parking spaces around the grounds, with a drop-off bay and disabled spaces directly opposite the entrance to the main hospital entrance.

The hospital has all the needed facilities, the latest in technology, and on-site support services; The hospital offers a wide range of procedures from routine investigations to complex surgery.

St Edmunds Hospital has more than 50 consultants who are experts and are s supported by caring and professional staff, dedicated nursing teams, and Resident Medical Officers on duty 24 hours a day, providing care within a friendly and comfortable environment.

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

Gurugram, India

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

Sanar International Hospital is a multispeciality hospital based on Golf Course Road in Gurugram, a part of Delhi NCR. It was founded in 2018 and houses one of the most comprehensive and advanced surgical care specialties. This 150-bedded facility is committed to providing the best patient experiences and healthcare services is the core of the hospital’s mission. Staffed by a group of visionary and competent medical professionals who are well-versed in their fields and eminent for their empathy and understanding, Sanar International Hospital provides optimal care to its patients, making it a popular

Specialties in the Hospital such as Heart, Bone, and Joint neurosciences, Cancer, Kidney and Liver Transplant, and other successful procedures along with experienced medical professionals have made a mark for themselves among domestic patients and international patients who come to India to have the finest healthcare services. It follows strict international practices and believes that the centricity of the patient is essential for providing high-quality care through world-class infrastructure and state-of-the-art facilities. The technologies offered by the Hospital include Digital X-rays, MRI, CT, Ultrasound, transfusion medicine, pharmacy, laboratory services, 24 hrs emergency and ambulance services.

It offers more than 20 plus specialties such as General Medicine, Anesthesiology, Cardiac Sciences, Ophthalmology, Gastroenterology, Hematology, Orthopedics, General Surgery & Surgical, Cardiothoracic Surgery, Hepato Biliary Surgery, Pediatrics, Liver Transplantation, and Critical Care Medicine. The Hospital has a highly skilled medical staff of neuro-anesthetists, neurologists, specialized neurocritical care experts, neurosurgeons neuropsychologists, and neuropsychiatrists. There are specific centers for the treatment of epilepsy, stroke, brain tumors, movement disorders, spinal problems, and headaches.

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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