Anterior Resection
Sphincter-preserving resection of the rectum with primary anastomosis — for upper and mid rectal cancers.
What is Anterior Resection?
Anterior resection is a sphincter-preserving operation for cancer of the upper and mid rectum, and selected cases of sigmoid cancer and diverticular disease. The affected segment of bowel is excised with primary restoration of continuity by a stapled or hand-sewn colorectal anastomosis.
Dr. Tagore Mohan Grandhi performs anterior resection with a laparoscopic approach as standard, avoiding a permanent stoma in the majority of patients while achieving complete oncological clearance within a structured enhanced recovery programme.
Indicated for resectable cancers of the upper and mid rectum and sigmoid colon — in patients fit for major colorectal resection with satisfactory sphincter function.
How the Procedure Works
Patient Positioning
Patient placed in modified lithotomy under general anaesthesia. Laparoscopic ports sited. Trendelenburg position with left lateral tilt used for pelvic access.
Mobilisation and Vascular Control
Sigmoid colon and rectum mobilised. Inferior mesenteric artery and vein ligated at a level determined by the oncological requirements.
Mesorectal Excision
Total or partial mesorectal excision performed according to tumour level, with careful sharp dissection preserving the pelvic autonomic nerves.
Distal Division and Anastomosis
Rectum divided with appropriate distal clearance using a laparoscopic linear stapler. Double-stapled circular colorectal anastomosis constructed.
Defunctioning and Recovery
Temporary loop ileostomy fashioned to protect low anastomoses. Enhanced recovery protocol with early oral intake and mobilisation. Ileostomy reversed at 8–12 weeks.
Outcomes
Who Needs This Treatment?
- →Sphincter preservation — avoids permanent colostomy in the majority of patients
- →Laparoscopic approach provides equivalent oncological results with reduced morbidity
- →Nerve-preserving dissection protects bladder and sexual function
- →Enhanced recovery programme minimises hospital stay and accelerates return to normal activity
Anterior resection allows most patients with rectal cancer to retain their bowel continuity and avoid a permanent stoma. With careful technique and modern enhanced recovery, outcomes are excellent and hospital stays are short.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Anterior Resection Cost for Rectal Cancer in Hyderabad
The cost of Anterior Resection for Rectal Cancer in Hyderabad depends on factors such as tumour location, stage of cancer, surgical complexity, investigations required, and post-operative care.
For patients with upper or mid rectal tumours requiring sphincter-preserving surgery, the approximate cost of Anterior Resection ranges between ₹2,50,000 and ₹5,00,000.
| Procedure | Approximate Cost Range |
|---|---|
| Anterior Resection | ₹2,50,000 – ₹5,00,000 |
The final cost may vary depending on individual health factors, surgical findings, hospital stay, and additional cancer treatments required.
Factors That Influence Anterior Resection Cost
The overall cost may depend on:
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Tumour location and stage: The size, location, and extent of rectal cancer influence surgical planning and treatment approach.
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Pre-operative cancer evaluation: Imaging scans, colon evaluation, biopsy reports, blood tests, and staging assessments may contribute to the overall cost.
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Surgical complexity: The extent of bowel removal, reconstruction, anaesthesia, hospital stay, and recovery monitoring can affect the final estimate.
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Additional cancer treatment: Chemotherapy, radiation therapy, or other oncology treatments may be recommended depending on the cancer stage and treatment plan.
Is Anterior Resection Covered by Insurance?
Anterior Resection for rectal cancer is generally considered a medically necessary procedure and may be covered by health insurance. Coverage depends on your policy terms, insurer approval, and required documentation.
Our insurance support team can assist with policy verification, documentation, and cashless approval procedures.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Tagore Mohan Grandhi, Bariatric & GI Surgeon at Lux Hospitals, will review your diagnosis, staging reports, and overall health to determine the most appropriate surgical approach. He will explain the procedure, expected outcomes, recovery process, and provide a personalised cost estimate based on your individual condition.
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