Abdominoperineal Resection (APR) Surgery for Rectal Cancer at PI Health Cancer Hospital
Comprehensive Surgical Care for Advanced Rectal Cancer
Abdominoperineal Resection (APR) is a specialized surgical procedure designed to tackle rectal cancer, particularly when the tumor is situated low in the rectum or affects the anal sphincter muscles. At PI Health Cancer Hospital, our skilled colorectal surgeons carry out APR with great care, ensuring effective cancer removal while keeping patient safety and quality of life at the forefront.Organ-Preserving Surgery for Mid to Low Rectal Tumors
Low Anterior Resection (LAR) is a common surgical option for treating rectal cancer, especially when the tumor is situated in the middle or lower sections of the rectum. The main aim of LAR is to eliminate the cancer while keeping the anal sphincter intact, which allows patients to continue having normal bowel movements without needing a permanent stoma (colostomy).
At PI Health Cancer Hospital, we take pride in our expertise in performing LAR surgeries using cutting-edge minimally invasive and robotic techniques. This approach ensures precision, enhances safety, and promotes a quicker recovery for our patients.
What is Abdominoperineal Resection (APR)?
APR is a surgical procedure that involves the complete removal of the rectum, anus, and surrounding tissues. Following this surgery, a permanent colostomy is created, allowing waste to exit the body through an opening in the abdomen, known as a stoma.
When Is APR Recommended?
APR is generally recommended for:
- Low Rectal Cancer (when the cancer is located near the anus)
- Tumors that involve the anal sphincter
- Locally advanced rectal tumors that can’t be treated with sphincter-saving surgery
- Recurrent rectal cancer after previous treatments
How Is APR Surgery Performed?
At PI Health Cancer Hospital, the APR surgery process includes:
- Abdominal Phase: Removal of the rectum along with surrounding fat and lymph nodes.
- Perineal Phase: Removal of the anus and the surrounding muscles.
- Creation of a Permanent Colostomy: A stoma is formed on the abdomen for waste collection into a colostomy bag.
Surgical Techniques Used:
- Open Surgery
- Laparoscopic APR (Minimally invasive)
- Robotic-Assisted APR for improved precision and faster recovery
Recovery After APR Surgery
Hospital Stay:
On average, you can expect to be in the hospital for about 5 to 7 days, depending on your health and the surgical method used.
Recovery Time:
Most people will be fully recovered in about 6 to 8 weeks. You’ll gradually ease back into your normal activities, but some lifestyle changes will be necessary due to the colostomy.
Post-Surgery Care Includes:
- Education and support for managing your stoma from trained nurses.
- Pain management and care for your wounds.
- Nutritional counselling to help you adjust to life with a colostomy.
- Regular follow-ups to monitor for any signs of cancer.
Risks and Possible Complications
- Infection or bleeding
- Complications with the perineal wound
- Small bowel obstruction
- Issues with sexual or urinary function
- Stoma complications, like skin irritation or hernias
At PI Health Cancer Hospital, our skilled surgical team is dedicated to minimizing risks and ensuring you receive comprehensive post-operative care.
Life After APR Surgery
Adjusting to life with a permanent colostomy can be a big change, but with the right support, most patients lead full and active lives. Our stoma care specialists and counselors are here to provide the guidance you need to adapt with confidence.
Support We Offer:
- Education on colostomy care
- Psychological counseling
- Dietary advice
- Peer support groups
Why Choose PI Health Cancer Hospital for APR?
- Experienced Colorectal Surgeons
- Advanced Robotic & Laparoscopic Techniques
- Dedicated Stoma Care Nursing Team
- Comprehensive Post-Operative Rehabilitation
We are committed to delivering top-notch colorectal cancer surgery along with compassionate, patient-centered care.
Schedule a Consultation
If you have concerns about your options for rectal cancer treatment, come meet with our colorectal specialists for expert advice.
- Highly Skilled Colorectal Surgeons
- Cutting-Edge Laparoscopic & Robotic Technology
- Comprehensive Cancer Treatment Team
- Customized Rehabilitation Programs
- Holistic Approach to Patient Care
Our mission is to deliver top-notch rectal cancer care while ensuring our patients enjoy the best possible quality of life.
About Author
Dr. Raghu Rami Reddy S
M.B.B.S, M.S, DRNB Surgical Oncology, FALS – Oncology
Dr. Raghu Rami Reddy is a highly skilled and experienced Surgical Oncologist specializing in the diagnosis and treatment of various cancers. With a commitment to providing the highest standard of care, Dr. Reddy utilizes advanced surgical techniques to treat a wide range of oncological conditions, including breast, gastrointestinal, and head and neck cancers, among others.He is dedicated to offering personalized treatment plans that are tailored to each patient’s unique needs, ensuring optimal outcomes and quality of life.