Introduction
Abdominoperineal resection (APR) is a major colorectal cancer surgery performed to treat very low rectal cancers that cannot be safely removed while preserving the anal sphincter.
The procedure involves complete removal of the rectum, anal canal, and surrounding tissues, followed by creation of a permanent colostomy to allow safe elimination of stool.
APR is a definitive, life-saving operation that prioritizes complete cancer removal when sphincter-preserving surgery is not oncologically safe.
Türkiye is a trusted destination for advanced rectal cancer surgery, offering experienced colorectal oncologic surgeons, modern surgical techniques, and comprehensive multidisciplinary cancer care.
Averia Health ensures a personalized, safe, and fully coordinated APR journey focused on oncologic safety, dignity, and long-term quality of life.
Why Choose Türkiye for Abdominoperineal Resection
Türkiye is internationally recognized for complex rectal cancer surgery because:
- Highly experienced colorectal oncologic surgeons
- Expertise in advanced pelvic and rectal surgery
- Multidisciplinary rectal cancer treatment teams
- Advanced operating theaters and intensive care support
- Internationally accredited hospitals
- High standards of perioperative and post-operative care
- More affordable than Europe, UK, and the US
Türkiye combines surgical precision with compassionate cancer care.
Why Choose Averia Health
Averia Health delivers a structured and patient-centered rectal cancer surgery experience:
- Pre-arrival review of diagnosis, staging, and imaging
- Referral to expert colorectal cancer surgeons
- Multidisciplinary coordination (surgery, oncology, radiology, nursing)
- Clear explanation of the procedure and permanent stoma implications
- Personalized surgical and recovery planning
- Interpreter services for clear communication
- 24/7 patient support during your stay
- Post-operative and long-term follow-up guidance
We prioritize safety, clarity, and patient dignity.
Conditions Treated with APR
Abdominoperineal resection is performed for:
- Low rectal cancer involving the anal sphincter
- Tumors invading sphincter muscles
- Recurrent rectal cancer
- Selected anal canal cancers
- Severe complications where sphincter preservation is not possible
APR is chosen when cancer control requires complete removal.
Surgical Techniques Used in APR
Standard Abdominoperineal Resection
- Abdominal and perineal surgical approach
- Complete removal of rectum and anus
Extralevator APR (ELAPE)
- Extended technique for better cancer margin control
- Reduces local recurrence in selected cases
Minimally Invasive APR (Laparoscopic or Robotic)
- Smaller incisions
- Reduced blood loss and faster recovery in selected patients
The technique is chosen based on tumor location and extent.
Diagnostic Evaluation Before Surgery
Comprehensive assessment may include:
- Colonoscopy with biopsy
- Pelvic MRI
- CT or PET-CT for staging
- Endorectal ultrasound (selected cases)
- Blood tests and tumor markers
Accurate staging is critical for safe and effective surgery.
Treatment Journey in Türkiye
- Pre-Arrival Consultation
You share diagnosis, pathology, and imaging. - Multidisciplinary Evaluation
Surgeons and oncologists confirm the need for APR. - Personalized Surgical Plan
Procedure details and stoma education are provided. - Abdominoperineal Resection Surgery
Performed by an experienced colorectal oncologic surgeon. - Post-Operative Care & Monitoring
Hospital recovery with stoma care initiation. - Follow-Up & Oncologic Continuity
Adjuvant therapy or surveillance coordinated as needed.
Expected Results & Benefits
- Complete removal of low rectal cancer
- Clear surgical margins
- Reduced risk of local recurrence
- Definitive solution when sphincter preservation is not possible
- Long-term cancer control
With proper support, patients adapt well to life with a colostomy.
Risks & Considerations
APR is a major surgery and may include:
- Infection or bleeding
- Perineal wound healing challenges
- Permanent colostomy
- Changes in body image and lifestyle
Specialist nursing and psychological support are integral to recovery.
What’s Included in Your Medical Trip
- Airport pickup & drop-off (if applicable)
- Colorectal oncology consultation
- Multidisciplinary rectal cancer evaluation
- Abdominoperineal resection surgery
- Anesthesia and hospital services
- Stoma care nurse support and education
- Nutritional and recovery support
- Interpreter services
- 24/7 patient support
- Post-discharge and international follow-up coordination
Averia Health ensures ethical, precise, and compassionate rectal cancer care.
Frequently Asked Questions
Is APR always required for low rectal cancer?
Only when sphincter preservation is not oncologically safe.
Will I have a permanent colostomy?
Yes — APR always results in a permanent colostomy.
Can I live a normal life with a colostomy?
Yes — with proper education and support.
Is minimally invasive surgery possible?
Yes — in selected patients.
Will I need chemotherapy or radiotherapy?
Some patients require additional treatment.
Is recovery long?
Recovery is gradual and supported by a multidisciplinary team.
Ready to Start Your Health Journey?
Receive definitive, expert treatment for low rectal cancer with abdominoperineal resection (APR) in Türkiye.
Request a free case review or contact us on WhatsApp to speak with our colorectal oncology coordination team.
