{"id":14394,"date":"2025-08-20T09:00:25","date_gmt":"2025-08-20T02:00:25","guid":{"rendered":"https:\/\/chgcancercenter.com\/?p=14394"},"modified":"2025-08-07T15:26:56","modified_gmt":"2025-08-07T08:26:56","slug":"apr-abdominoperineal-resection-cancer-treatment","status":"publish","type":"post","link":"https:\/\/chgcancercenter.com\/en\/apr-abdominoperineal-resection-cancer-treatment\/","title":{"rendered":"APR Surgery for Rectal Cancer: Colostomy Needed?"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"14394\" class=\"elementor elementor-14394\">\n\t\t\t\t<div class=\"elementor-element elementor-element-53eb7dc6 e-flex e-con-boxed e-con e-parent\" data-id=\"53eb7dc6\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1995faba elementor-widget elementor-widget-text-editor\" data-id=\"1995faba\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h1><span style=\"font-size: 24pt;\"><strong>APR Surgery for Rectal Cancer: Colostomy Needed?<\/strong><\/span><\/h1><p class=\"translation-block\">Abdominoperineal Resection (APR) is a surgical procedure used to treat cancers located at the very end of the digestive tract, particularly in the lower rectum and anal canal. This surgery involves removing the sigmoid colon, rectum, anus, and anal sphincter muscles, and as a result, the patient requires a permanent colostomy.<\/p><h2><span style=\"font-size: 18pt;\"><b>Cancers Treated with APR:<\/b><\/span><\/h2><p><span style=\"font-weight: 400;\">APR is an option for treating very deep or metastatic cancers in areas where bowel movements cannot be preserved, such as:<\/span><\/p><h3><span style=\"font-size: 14pt;\"><b>1. Anal Cancer<\/b><\/span><\/h3><ul><li style=\"font-weight: 400;\" aria-level=\"1\" class=\"translation-block\">When chemoradiotherapy fails or the cancer recurs.<\/li><\/ul><h3><span style=\"font-weight: 400; font-size: 14pt;\"><b>2. Low Rectal Cancer<\/b><\/span><\/h3><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tumors that are too close to the anus, where preserving normal defecation is not possible.<\/span><\/li><\/ul><h3><span style=\"font-weight: 400; font-size: 14pt;\"><b>3. Locally Advanced Cancer<\/b><\/span><\/h3><ul><li><span style=\"font-weight: 400;\">Tumors that invade the anal sphincter, pelvic wall, or surrounding tissues.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li><\/ul><h2><span style=\"font-size: 18pt;\"><b>APR Surgical Steps:<\/b><\/span><\/h2><ol><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Removal of the distal colon and rectum through the abdomen<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Excision of the anus and surrounding tissues through the perineum<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\" class=\"translation-block\">Formation of a permanent colostomy on the abdominal wall<\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Suturing of the anal area to close the natural outlet<\/span><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-03fc15b e-flex e-con-boxed e-con e-parent\" data-id=\"03fc15b\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-36c3cc6 elementor-widget elementor-widget-text-editor\" data-id=\"36c3cc6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2><span style=\"font-size: 18pt; color: #000000;\"><b>Pros and Considerations<\/b><\/span><\/h2><h3><span style=\"color: #000000;\"><span style=\"font-size: 14pt;\"><strong>Benefits<\/strong><\/span>\u00a0<\/span><\/h3><ul><li><span style=\"font-weight: 400; color: #000000;\">May completely remove cancer<\/span><\/li><li><span style=\"font-weight: 400; color: #000000;\">Prevents local recurrence<\/span><\/li><li><span style=\"font-weight: 400; color: #000000;\">Suitable for late-stage cases<\/span><\/li><\/ul><h3><span style=\"font-size: 14pt; color: #000000;\"><strong>Precautions<\/strong><\/span><\/h3><ul><li><span style=\"font-weight: 400; color: #000000;\">Requires lifelong colostomy care<\/span><\/li><li><span style=\"font-weight: 400; color: #000000;\">May impact self-image and mental health<\/span><\/li><li><span style=\"font-weight: 400; color: #000000;\">Major surgery with a long recovery<\/span><\/li><\/ul><p class=\"translation-block\">APR is an important surgical option for treating rectal or anal cancer when the tumor location or progression makes sphincter-preserving surgery impossible. Though it results in a permanent colostomy, it can be life-saving and curative in selected cases. Patients are encouraged to consult with a colorectal cancer specialist to determine the best course of treatment for their condition.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a93b92e e-flex e-con-boxed e-con e-parent\" data-id=\"a93b92e\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-93ea625 elementor-widget elementor-widget-image\" data-id=\"93ea625\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"640\" height=\"360\" src=\"https:\/\/chgcancercenter.com\/wp-content\/uploads\/2025\/08\/APR-Surgery-for-Rectal-Cancer_-Colostomy-Needed1.jpg\" class=\"attachment-large size-large wp-image-14403\" alt=\"\u0e20\u0e32\u0e1e\u0e2d\u0e18\u0e34\u0e1a\u0e32\u0e22\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 APR \u0e2a\u0e33\u0e2b\u0e23\u0e31\u0e1a\u0e21\u0e30\u0e40\u0e23\u0e47\u0e07\u0e25\u0e33\u0e44\u0e2a\u0e49\u0e15\u0e23\u0e07\u0e41\u0e25\u0e30\u0e17\u0e27\u0e32\u0e23\u0e2b\u0e19\u0e31\u0e01 \u0e17\u0e35\u0e48\u0e2d\u0e32\u0e08\u0e15\u0e49\u0e2d\u0e07\u0e40\u0e1b\u0e34\u0e14\u0e23\u0e39\u0e17\u0e27\u0e32\u0e23\u0e16\u0e32\u0e27\u0e23\u0e2b\u0e25\u0e31\u0e07\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\" srcset=\"https:\/\/chgcancercenter.com\/wp-content\/uploads\/2025\/08\/APR-Surgery-for-Rectal-Cancer_-Colostomy-Needed1.jpg 800w, https:\/\/chgcancercenter.com\/wp-content\/uploads\/2025\/08\/APR-Surgery-for-Rectal-Cancer_-Colostomy-Needed1-300x169.jpg 300w, https:\/\/chgcancercenter.com\/wp-content\/uploads\/2025\/08\/APR-Surgery-for-Rectal-Cancer_-Colostomy-Needed1-768x432.jpg 768w, https:\/\/chgcancercenter.com\/wp-content\/uploads\/2025\/08\/APR-Surgery-for-Rectal-Cancer_-Colostomy-Needed1-18x10.jpg 18w, https:\/\/chgcancercenter.com\/wp-content\/uploads\/2025\/08\/APR-Surgery-for-Rectal-Cancer_-Colostomy-Needed1-600x338.jpg 600w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-32e8f1d e-flex e-con-boxed e-con e-parent\" data-id=\"32e8f1d\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-18e9011 elementor-widget elementor-widget-ct_text_editor\" data-id=\"18e9011\" data-element_type=\"widget\" data-widget_type=\"ct_text_editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"ct_text_editor-18e9011\" class=\"ct-text-editor wow fadeInUp\" data-wow-delay=\"ms\">\n\t<div class=\"ct-item--inner\">\n\t\t<div class=\"ct-inline-css\"  data-css=\"\t        \t\t\t\">\n\n\t    <\/div>\n\t\t<div class=\"ct-text-editor elementor-clearfix\">\n\t\t\t<p class=\"translation-block\">For inquiry, please call <a href=\"tel:0638166058\" target=\"_self\">+66638166058<\/a><\/p>\t\t\n\t\t<\/div>\n\t<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cc4a6ee e-flex e-con-boxed e-con e-child\" data-id=\"cc4a6ee\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-c0616b5 e-con-full e-flex e-con e-child\" data-id=\"c0616b5\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e7c50bd elementor-widget elementor-widget-text-editor\" data-id=\"e7c50bd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-family: lineseedsansth;\">Request consultation for treatment plan<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9058c76 e-con-full e-flex e-con e-child\" data-id=\"9058c76\" data-element_type=\"container\" data-settings=\"{&quot;position&quot;:&quot;absolute&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d1e4874 elementor-widget elementor-widget-text-editor\" data-id=\"d1e4874\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/lin.ee\/sx9JJLJ\"><img decoding=\"async\" class=\"\" src=\"https:\/\/scdn.line-apps.com\/n\/line_add_friends\/btn\/th.png\" alt=\"\u0e40\u0e1e\u0e34\u0e48\u0e21\u0e40\u0e1e\u0e37\u0e48\u0e2d\u0e19\" width=\"115\" height=\"36\" border=\"0\" \/><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-549157e e-flex e-con-boxed e-con e-child\" data-id=\"549157e\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>\u0e23\u0e39\u0e49\u0e08\u0e31\u0e01\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14 APR \u0e2a\u0e33\u0e2b\u0e23\u0e31\u0e1a\u0e21\u0e30\u0e40\u0e23\u0e47\u0e07\u0e25\u0e33\u0e44\u0e2a\u0e49\u0e15\u0e23\u0e07\u0e41\u0e25\u0e30\u0e17\u0e27\u0e32\u0e23\u0e2b\u0e19\u0e31\u0e01 \u0e40\u0e1b\u0e47\u0e19\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e43\u0e2b\u0e0d\u0e48\u0e17\u0e35\u0e48\u0e2d\u0e32\u0e08\u0e15\u0e49\u0e2d\u0e07\u0e40\u0e1b\u0e34\u0e14\u0e23\u0e39\u0e16\u0e32\u0e27\u0e23\u0e40\u0e21\u0e37\u0e48\u0e2d\u0e21\u0e30\u0e40\u0e23\u0e47\u0e07\u0e25\u0e38\u0e01\u0e25\u0e32\u0e21 \u0e44\u0e21\u0e48\u0e2a\u0e32\u0e21\u0e32\u0e23\u0e16\u0e2a\u0e07\u0e27\u0e19\u0e23\u0e39\u0e17\u0e27\u0e32\u0e23\u0e44\u0e27\u0e49\u0e44\u0e14\u0e49<\/p>","protected":false},"author":2,"featured_media":14407,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[65],"tags":[62,1408,445,1411,97,962,1410,1409,279,71,922,260,1058,93,90],"class_list":["post-14394","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-colon-cancer","tag-chg-cancer-center","tag-colostomy","tag-445","tag-1411","tag-97","tag--apr","tag-1410","tag-1409","tag-279","tag-colorectal-cancer","tag-922","tag-260","tag-1058","tag-93","tag-90"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/chgcancercenter.com\/en\/wp-json\/wp\/v2\/posts\/14394","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/chgcancercenter.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/chgcancercenter.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/chgcancercenter.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/chgcancercenter.com\/en\/wp-json\/wp\/v2\/comments?post=14394"}],"version-history":[{"count":0,"href":"https:\/\/chgcancercenter.com\/en\/wp-json\/wp\/v2\/posts\/14394\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/chgcancercenter.com\/en\/wp-json\/wp\/v2\/media\/14407"}],"wp:attachment":[{"href":"https:\/\/chgcancercenter.com\/en\/wp-json\/wp\/v2\/media?parent=14394"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/chgcancercenter.com\/en\/wp-json\/wp\/v2\/categories?post=14394"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/chgcancercenter.com\/en\/wp-json\/wp\/v2\/tags?post=14394"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}