Abdominoperineal Resection (APR):
What Is an Abdominoperineal Resection?
An abdominoperineal resection (APR) is a major surgery to treat cancers or severe disease of the very low rectum or anus. It involves removing: • The lower part of the colon (sigmoid colon) • The entire rectum • The anal canal and surrounding tissue Afterward, a permanent colostomy (opening in the abdominal wall for stool to exit into a bag) is created.
Why It’s Done • Low rectal cancer (when tumor is too close to the anus for sphincter‑saving surgery) • Anal cancer not responsive to other treatments • Severe inflammatory disease (rarely, for Crohn’s or ulcerative colitis complications) • Trauma or recurrent disease where other resections aren’t possible Recovery & Follow‑Up •
Incision care: Keep clean and dry; watch for redness or drainage • Activity: • Light activities and short walks immediately • Avoid heavy lifting (>10 lbs) for 6–8 weeks • Diet: • Eat small, frequent meals • Stay hyd
