THE IMPACT OF HYPOALBUMINEMIA ON PATIENTS WITH COMPLICATED COLON CANCERS, OPERATED IN EMERGENCY
The serum albumin was used as a parameter to assess the nutritional status of a patient, due to its free availability and low cost. We studied the clinical indications and the involvement of the serum albumin levels in the prognosis of patients operated in emergency for complicated colon cancers in a retrospective study including 451 patients, diagnosed and operated for complicated colon cancer in the Surgical Clinics I and II of the Clinical Emergency County Hospital “Sf. Ap. Andrei” from Galati, between 2008 and 2017. We found a major serum hypoalbuminemia in 5.10% cases, a minor hypoalbuminemia in 12.64% cases and the existing values correlated well with both the postoperative complications and the deaths resulting from the study. Although the albumin remains a weak marker of nutrition assessment, it offers a clear prognosis value in predicting the patient outcomes after colorectal surgery, but which would continue to benefit from further studies.