Older than the age of 65

according to gastric cancer guidelines diagnostic criteria of the national comprehensive cancer network (NCCN) in 2014, were diagnosed with stage II, III gastric cancer postoperative

According to Nutritional Risk Screening 2002 (NRS 2002) of the European society of parenteral enteral nutrition, their global scoring were more than 3 points

normal hepatic and renal function before surgery

hormone, immunopotentiator or immunosuppressor were not administered half a year before surgery

Without radiotherapy, and chemotherapy preoperative

moderate anemia, hemoglobin< 90 g/L

severe hypoalbuminemia, albumin< 25 g/L

with at least one disease as listed following

metabolic and allergic diseases,Such as total triglyeride>2.26mmol or total cholesterol>6.2mmol/L

overweight patients, BMI＞28

Special circumstances in the operation

age

70 years

Body Mass Index

22.41

albumin

36 g/L

preaalbumin

230 mg/L

transferrin

0.85 g/L

Alanine aminotransferase

24 U/L

Total bilirubin

9 mmol/L

CD3

41.9 %

CD4

32.8 %

CD8

17.2 %

CD4/CD8

1.74

IgA

2.12 %

IgG

10.3 %

IgM

1.13 %

C-reactive protein

2.8 mg/L

Interleukin 6

5.9 pg/L

albumin

g/L

preaalbumin

mg/L

transferrin

g/L

alanine aminotransferase

U/L

Total bilirubin

mmol/L

CD3

%

CD4

%

CD8

%

CD4/CD8

IgA

g/L

IgG

g/L

IgM

g/L

C-reactive protein

mg/L

Interleukin 6

pg/L

albumin

25 g/L

preaalbumin

200 mg/L

transferrin

1.65 g/L

Alanine aminotransferase

24 U/L

Total bilirubin

21 mmol/L

CD3

66.9 %

CD4

48.8 %

CD8

21.2 %

CD4/CD8

2.14

IgA

1.83 g/L

IgG

2.12 g/L

IgM

0.3 g/L

C-reactive protein

15 mg/L

Interleukin 6

21.9 pg/L

albumin

30 g/L

preaalbumin

162 mg/L

transferrin

1.9 g/L

Alanine aminotransferase

26 U/L

Total bilirubin

18 mmol/L

CD3

41.6 %

CD4

39 %

CD8

22.4 %

CD4/CD8

1.26

IgA

0.27 g/L

IgG

9.3 g/L

IgM

0.67 g/L

C-reactive protein

8 mg/L

Interleukin 6

8.1 pg/L