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Abdomino perineal resection

Anal or rectal cancer surgery

Abdomino perineal resection involves removing your anus, rectum and part of your colon

About

If you've been diagnosed with rectal cancer, we'll assess you to see if you need immediate chemotherapy or radiotherapy, or whether you can go straight to surgery. If the cancer is very low in the rectum, the entire rectum and anus may need to be removed. This is called an abdominoperineal resection (APR).

Need to know

  • What happens icon plus

    An abdomino perineal resection (APR) can be carried out as an open procedure (where one large cut is made) or as a laparoscopic procedure (where smaller keyhole-size cuts are made). After your consultant has made the cuts, they'll remove your anus, rectum and part of your colon (bowel). They may also remove lymph nodes near your anus and groin. During the surgery, your consultant will create a colostomy (a way of diverting the remainder of your bowel). This involves making an opening (stoma) in the skin on your tummy, before stitching it to the end of your bowel. You'll wear a bag over the stoma to collect your poo.
  • How to prepare icon plus

    Your consultant or specialist nurse will explain the APR to you and answer any questions you might have. The procedure itself is carried out under general anaesthetic, which means you'll be asleep. Your anaesthetist will explain how this works on the day of your operation. They'll also explain pain management after your operation. You may be asked to limit what you eat or drink in the hours leading up to your procedure. You'll also receive medication to clean out your bowel. During the operation, we may insert a catheter (flexible tube) into your bladder to help you pass urine. We'll remove this 24-48 hours after the operation.
  • Afterwards icon plus

    After your operation, you'll be transferred to a recovery ward, where our dedicated team of consultants and nurses will care for you. You can expect to stay with us for up to a week, depending on the type of surgery you have. During this time, we may put you on a drip to keep you hydrated. Your consultant or specialist nurse will let you know when you can leave hospital and when you can get back to your normal routine. In the meantime, the part of the bowel that was removed during the operation will be sent for analysis. Your results will be available within two weeks.
Consultant with patient

Our consultants

From complex surgery to straightforward procedures, we provide exceptional care across our network of hospitals, outpatient centres and specialist clinics.

Our facilities

From complex surgery to straightforward procedures, we provide exceptional care across our network of hospitals, outpatient centres and specialist clinics.

  • London Bridge Hospital Facility

    HCA UK at The Shard

    The Shard, 32 St Thomas Street

    London

    SE1 9BS

    Call 020 3131 6888

  • London Bridge Hospital Facility

    London Bridge Hospital

    27 Tooley Street

    London

    SE1 2PR

    Appointments and Enquiries 020 7234 2009
    Imaging Appointments 020 7234 2773
    Switchboard 020 7407 3100

  • facility-pgh-hero-579x579

    The Princess Grace Hospital

    42-52 Nottingham Place

    London W1U 5NY

    Appointments 020 3131 7216
    Enquiries 020 3130 6833

Request an appointment

We're happy to help you make an appointment with one of our experienced consultants.

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
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