Low Anterior Resection for Rectal Cancer
What's included in this package
Medical Procedures
- Rectal resection
Duration
24/7 Bookimed assistance
- Personal medical coordinator
- Medical travel arrangements — booking of air tickets and hotel rooms at special partner prices
- Patient advocacy during medical travel
Program price
What's NOT included in this package
Doctor
Assoc. Prof. Kıvanç Derya Peker is a surgeon with expertise in pancreatic, gallbladder, liver, and stomach surgeries. He also specializes in obesity and metabolic surgery, as well as kidney transplantation. He completed his medical and surgical training at Istanbul University. He ranked among the top three in the national minor specialty exam for gastroenterological surgery.
Dr. Peker has performed over 400 pancreatic and gastric cancer surgeries and more than 200 liver surgeries. He has also completed many gallbladder, biliary tract, obesity-metabolic procedures, and kidney transplants. He received training at the Mayo Clinic. He co-founded the Hepatopancreatobiliary Surgery unit at Bakırköy Dr. Sadi Konuk Hospital. There, he provided advanced training to surgical residents.
He is known for his research in aging and stem cell treatments. Dr. Peker has established gastroenterology surgery clinics at major hospitals. He is accredited by the Turkish HPB Association and has received a scholarship from the Turkish Surgery Association.
How are we doing?
About the clinic
Hisar Hospital Intercontinental is a multi-specialty medical center in Istanbul, Turkiye, accredited by the Joint Commission International (JCI) for meeting high standards of treatment quality and safety.
The hospital specializes in oncology, hematology, cardiovascular surgery, orthopedics, and bariatric procedures, including gastric sleeve, bypass, and balloon. It also offers comprehensive health check-ups.
Annually, over 500,000 patients seek medical care at Hisar Hospital Intercontinental. Patients from Europe, America, Africa, CIS, and the Balkans choose the hospital for specialized and high-quality treatment.
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FAQ
Rectal cancer diagnostics
Physicians utilize the following diagnostic methods to determine tumor size, its location and metastatic spread:
- PET-CT scan;
- MRI;
- biopsy;
- ultrasound;
- palpation;
- anoscopy.
- physical exam;
Indications and contraindications for rectal cancer surgery
There are following indications for rectal tumor surgery:
- the tumor is operable;
- the procedure doesn’t pose any risks to patient’s health;
- cancer is localized in the rectum;
Contraindications for the operation include:
- poor overall health condition of a patient;
- cancer has spread to other organs;
- severe infections (HIV, hepatitis);
- blood pathologies that may affect clotting (anemia).
Types of rectal cancer surgery
Surgery is the main and the most effective tumor treatment option. The type of preferred operation depends on tumor localization and its size.
- Local resection surgery is performed for patients with early stages of cancer. The tumor and margin tissues around it are removed. This operation is performed without making incisions - through patient’s anal cavity. The procedure doesn’t put patient’s body under much stress and preserves all its functions. Postoperative recovery in a hospital takes up to 1 week. After the operation, physicians study the margin tissue to determine whether cancer was removed completely.
- Abdominoperineal resection also referred to as APR for rectal cancer. Physicians perform this operation for patients with late stages of the disease, when other management options are ineffective. During the procedure, a part of patient’s colon, rectum, and anus are removed. In some cases surgeons also remove adjacent lymph nodes while performing APR for rectal cancer to prevent cancer spreading. This rectal cancer surgery is complex, performed under general anesthesia. Surgeons make an incision in patient’s abdomen to access cancerous focus points. Then surgeons make an opening in the stomach and connect the end of the bowel to it. It is called a stoma. A special bag is attached to the opening for stool collection. This way patients will be able to empty their stomachs.
- Low anterior resection, also known as LAR rectal cancer surgery. During this operation, physicians remove tumors in the upper part of the rectum. It is applied for stage 1 cancer, rarer - for stages 2-3. During the intervention, a part of the rectum containing tumor is removed. The colon is then sewn to the remaining part of the rectum. Patients who don’t require colostomy after the procedure may need ileostomy. This manipulation has the same intent as colostomy but is completely reversible. Patients need it for a period of up to 8 weeks while the rectum recovers after LAR rectal cancer surgery. The operation is performed by a team of surgeons in 2-3 hours. A patient stays under general anesthesia. Hospitalization lasts for up to 7 days, rehabilitation takes 4-7 weeks.