Laparoscopic Abdominoperineal Resection (APR)
Minimally Invasive Surgery for Low Rectal Cancer
What is Laparoscopic Abdominoperineal Resection?
Laparoscopic Abdominoperineal Resection (APR) is a minimally invasive surgical procedure performed to treat low rectal cancer and certain anal cancers. It involves removing the lower part of the rectum, anus, and surrounding tissues, including the sphincter muscles, through a combination of abdominal and perineal incisions.
Since the anal sphincter is removed, the patient will need a permanent colostomy, where waste is diverted through an opening (stoma) in the abdomen into an external bag.
When is APR Recommended?
Laparoscopic APR may be advised for:
- Low rectal cancer located too close to the anus for sphincter-sparing surgery
- Anal cancer not responding to chemotherapy/radiation
- Recurrent rectal tumors
- Severe injury or disease affecting the anus and rectum
- Crohn’s disease or other chronic inflammatory conditions (rare cases)
Benefits of Laparoscopic APR
- Smaller incisions, less pain
- Reduced blood loss
- Faster recovery and shorter hospital stay
- Lower risk of infection
- Precise tumor removal with better visualization
- Enhanced cosmetic results
How is Laparoscopic APR Performed?
- Surgery is done under general anesthesia
- Several small incisions are made in the abdomen for inserting a laparoscope and surgical instruments
- The surgeon removes the rectum, anus, and surrounding tissues
- A permanent colostomy is created for waste elimination
- Incisions are closed, and a stoma care team provides post-op training
Recovery after Surgery
- Hospital stay: 5–7 days
- Full recovery: 6–8 weeks
- Pain control and antibiotics are prescribed
- Stoma care guidance provided before discharge
- Gradual return to normal activities and diet
- Regular follow-up for cancer monitoring and stoma health
Possible Risks and Complications
- Bleeding or infection
- Wound healing issues (especially in the perineal area)
- Urinary or sexual dysfunction (due to nerve involvement)
- Stoma-related complications
- Deep vein thrombosis (DVT)
Life after APR Surgery
Living with a permanent colostomy can be a major adjustment, but with the help of Ostomy nurses, support groups, and proper care, most patients return to active, fulfilling lives. Regular follow-ups ensure continued health and cancer surveillance.
Why Choose Dr. Harish NL for Laparoscopic APR?
- Expert Colorectal & Cancer Surgeons
- Minimally Invasive & Robotic Surgery Options
- Comprehensive Cancer & Ostomy Care
- Dedicated Stoma Care Support
- Patient-Centered Approach with Compassionate Recovery Plans