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Abdominoperineal Resection Cost in India

A treatment of choice for rectal cancer.

Abdominoperineal Resection Cost in India

Medical Travel Cost

Daily Commute

Abdominoperineal Resection Cost In India

For A Patient From Singapore

Abdominoperineal Resection Price USD 5,400 ( 7,387 Singapore Dollar ) No. of Travellers 2 Days in Hospital 2 Days Outside Hospital 10 Total days in India 12

Abdominoperineal Resection

Abdominoperineal resection is a surgery where the surgeon removes the anus, rectum, sigmoid colon, and associated lymph nodes through incisions in the abdomen and perineum. This method is done when the cancer you have is situated very low in the rectum or anus, close to the sphincter muscles controlling the bowel movements.

 As a result, the end of the sigmoid colon is brought out permanently on the surface of the skin, called a Stoma. It is attached to a pouch to collect the waste materials from the body. This procedure is called Colostomy.


Causes / Risks of Rectal Cancer

Although the exact cause is unknown, some of the factors which could trigger are:

  • Age – more than 90% of patients are over 50 years of age
  • Polyps – benign growths in the inner wall of the colon or rectum
  • Personal medical history – women with past cancer of the ovary, uterus, or breasts are at risk
  • Family medical history – relatives like parents, siblings, or children of a person with rectal cancer are somewhat likely to develop this cancer especially if the person is at a young age
  • Genetic alteration – gene mutations occur when the DNA of a cell is damaged. People with Hereditary nonpolyposis colon cancer (HNPCC) and Familial adenomatous polyposis (FAP) are at a greater risk.
  • Ulcerative colitis or Crohn's disease – people with this disease also are at risk
  • Smoking smokers are more likely to develop polyps and rectal cancer.
  • Dietary factor – diet low in vegetables and high in red meat especially charred or well-done are at a risk
  • Alcohol – drinking more than 3 alcoholic beverages may increase it
  • Diabetes – poorly controlled type 2 diabetes and insulin resistance
  • Radiation therapy – radiation therapy for previous cancer on the abdomen may also increase the risk. 


Recommended: Laparoscopic Abdominoperineal Resection: Basic Surgical Steps



  • Change in bowel habits
  • Diarrhoea, constipation, or a feeling of not completely empty bowel
  • Vomiting
  • Blood in the stool
  • Narrower stool size
  • General abdominal discomfort like bloating, gas pains, cramps etc
  • Loss of weight for no known reason
  • Tiredness
  • Bleeding


Diagnosis and tests

  • Physical examination of the affected area
  • Faecal occult blood test (FOBT)
  • Colonoscopy
  • Virtual colonoscopy
  • Sigmoidoscopy
  • A double contrast barium enema (DCBE) 
  • A digital rectal exam (DRE)
  • Polypectomy
  • Biopsy


You may be interested in: Abdominoperineal Resection


More tests

If rectal cancer is detected, more tests need to be done to see the stage of cancer to determine the plan of treatment such as:

  • Blood tests
  • Colonoscopy
  • Endorectal ultrasound
  • Chest X-Ray
  • CT Scan
  • MRI


Stages of Rectal Cancer

  • Stage 0 – very early cancer stage, cancer is found only in the innermost lining of the rectum
  • Stage I – cancer is found more in the inner-wall of the rectum
  • Stage II – cancer has spread outside the rectum, into the tissue but not the lymph node
  • Stage III – cancer has spread to the lymph nodes but not to other parts of the body
  • Stage IV – cancer has spread to other parts like liver and/or lungs
  • Recurrent – cancer has come back after treatment, recurring in the rectum or other parts of the body.



Before surgery

  • Complete physical examination of the body
  • Taking diagnostic tests
  • Make sure you inform your doctor of all past personal and family’s medical history
  • Depending on the results of the tests, location of the tumour, and stage of the cancer, the doctor will decide on the best treatment plan for you
  • You will be asked to stop taking certain medications such as blood thinners or some other herbal medicines if you are taking any
  • You will be asked to quit smoking if you do
  • You will be asked to stop eating and drinking 8 – 12 hours before surgery
  • Medications given should be taken with small sips of water.

During surgery

  • You will be given general anaesthesia, so you will be asleep and feel no pain
  • It may take 2 – 6 hours
  • The surgeon will make an incision into the area below your belly button
  • To prepare the sigmoid colon and rectal for removal, he cuts and closes the main blood vessels that severed the diseased area of the bowel
  • The sigmoid colon is freed and divided from the large intestine
  • The rectum is also freed from its surrounding structures
  • The surgeon then operates the area within the legs (perineal region)
  • The anus, rectum, and sigmoid colon are removed
  • When the rectum is removed and connection with the healthy part is not possible, the surgeon makes an opening in wall of the abdomen called Stoma to make way for the body waste
  • A flat bag is attached to the Stoma with special adhesive. This procedure is called Colostomy
  • Colostomy can be temporary until the rectum recovers and the surgeon reconnects the parts of the stoma and closes it
  • It can also be permanent if the tumour is in the lower rectum
  • The surgeon then closes the incision

After surgery

  • You will stay in the hospital for at least one week
  • You will feel tired for some days
  • Your digestive system will take some time to be active. You will be fed on liquids and then on solids eventually
  • An enterostomal therapist will help you get acquainted with your pouch
  • Any pain could be handled with medications
  • You must avoid strenuous activities or lifting heavy objects
  • Regular check ups will be done where tests will be repeated to check recovery or any recurrence.


Risks and complications

As with any surgery complications such as below could occur:

  •  Infection
  • Bleeding
  • Problems with colostomy
  • Blood clot in the legs
  • Accidental damage to the ureter
  • Cardiopulmonary complications


Factors affecting the cost of Abdominoperineal resection

The cost of Abdominoperineal resection starts from $5400. The cost could vary depending on factors like:

  • Choice of hospital
  • Location of hospital
  • Surgeon’s fee
  • Medical care
  • Duration of stay

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Author Name
Dr Pooja Chaudhary

Published Date
: 20-Apr-2016

Dr. Pooja Chaudhary is a well known health blogger. She writes for some of the well known medical sites in India and US.

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