How Long Does APR Surgery Take? Melbourne Surgeon Explains

It’s very common that when doctors recommend APR surgery, it may sound strange. Since the subject is not that common, patients may have many questions. For example, they may ask, "How long will the operation actually take?” 

As a complex procedure, there isn't a single, universal answer. The duration of an abdomino perineal resection surgery in Melbourne can vary, but typically, patients can expect the procedure to last between three and six hours. This time frame depends on a number of critical factors, which we will explore to give you a clear and realistic expectation. 

What is Abdomino-Perineal Resection (APR) Surgery and How Long Does It Take?

An abdominoperineal resection (APR) is a major surgical procedure performed to remove the rectum and anus. It is most commonly used to treat very low rectal cancers that are located too close to the anal sphincter muscles to allow for a reconstruction. 

Because the anus is removed, this abdomino perineal resection surgery in Melbourne requires the creation of a permanent colostomy, where the end of the colon is brought through the abdominal wall to create a stoma for waste to pass into a pouch. The complexity of operating deep within the pelvis, surrounded by delicate nerves and structures, is what primarily influences the time the procedure takes.

The duration of the APR surgery can vary depending on surgical technique and patient factors. Generally, the procedure takes about 2 to 3 hours. So, abdomino perineal resection surgery in Melbourne, depending on the surgical method, typically spans 2 to 4 hours—with minimally invasive approaches often being quicker. 

Factors That Impact the Duration of the Surgery

There are several technical factors that directly influence the length of the APR surgery procedure in Melbourne. The first one is the patient’s physical side, which is unique. For example, a narrow male pelvis can make surgical access more time-consuming and challenging. 

The second major factor is the reason for surgery. A complex cancer that has involved nearby structures may require a more meticulous dissection than surgery for a benign condition. The surgical approach itself is also a significant factor, which we will break down next.

What happens during APR surgery?

Once you are under general anaesthesia, the surgeon proceeds further in two phases:

• Abdominal phase: In this phase, the professional removes the rectum, anus, and part of the sigmoid colon along with nearby lymph nodes.
• Perineal phase: In this phase, the professional will close the anus and create a permanent colostomy. 

The end of the healthy colon is brought out through a carefully created opening in the abdominal wall to form the stoma. This is a precise step crucial for your long-term management.

This combined abdominal-and-perineal approach is integral to the APR surgery procedure in Melbourne, demanding precision and well-coordinated care across surgical teams.

Immediate recovery and hospital stay

Post surgery, you will notice a catheter attached to you and once your physical condition is stabilised, you will move to the ward. Most patients remain in hospital for around a week, during which time they learn colostomy care, gradually tolerate soft foods and begin mobilising. Older data indicate an average hospital stay of 9 days for APR patients.

Why you should consult with an experienced surgeon

Colorectal surgeons in Melbourne who perform APR surgery procedures are highly skilled and frequently educated in cutting-edge minimally invasive methods. Even though a complicated operation might take several hours, the time is spent using careful technique to minimise risks to the surrounding nerves that control sexual and bladder function and to achieve the best possible oncological outcome. 

Selecting a skilled surgeon who frequently does these operations is essential for the operation's success as well as your recuperation.

Recovery Time is What Counts

While it's important to understand the duration of the surgery itself, it's more crucial to focus on the overall recovery timeline. A well-performed surgery, even if it takes a little longer, sets the stage for a smoother recovery. 

The goal of modern abdomino perineal resection surgery in Melbourne is not just to complete the operation quickly but to do it effectively and safely, prioritising your long-term health and quality of life. Your surgical team will guide you through every step of the process, from preparation to rehabilitation.

If you have been advised that you need an APR and have further questions about the procedure, timing, or recovery, having a detailed discussion with a specialist colorectal surgeon is the best next step.