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

69 years

Body Mass Index

21.05

albumin

40 g/L

preaalbumin

273 mg/L

transferrin

2.1 g/L

Alanine aminotransferase

38 U/L

Total bilirubin

22 mmol/L

CD3

63.2 %

CD4

40.6 %

CD8

21.3 %

CD4/CD8

1.98

IgA

1.08 %

IgG

6.2 %

IgM

0.77 %

C-reactive protein

4.6 mg/L

Interleukin 6

8.5 pg/L

albumin

39 g/L

preaalbumin

228 mg/L

transferrin

2.06 g/L

alanine aminotransferase

28 U/L

Total bilirubin

20 mmol/L

CD3

57.1 %

CD4

44.1 %

CD8

20.4 %

CD4/CD8

2.16

IgA

1.37 g/L

IgG

8.75 g/L

IgM

0.95 g/L

C-reactive protein

7 mg/L

Interleukin 6

2.6 pg/L

albumin

31 g/L

preaalbumin

225 mg/L

transferrin

1.86 g/L

Alanine aminotransferase

52 U/L

Total bilirubin

12 mmol/L

CD3

53.2 %

CD4

27.2 %

CD8

21.9 %

CD4/CD8

1.37

IgA

1.21 g/L

IgG

9.15 g/L

IgM

1.02 g/L

C-reactive protein

21 mg/L

Interleukin 6

15.2 pg/L

albumin

28 g/L

preaalbumin

275 mg/L

transferrin

1.56 g/L

Alanine aminotransferase

21 U/L

Total bilirubin

36 mmol/L

CD3

55.8 %

CD4

48.9 %

CD8

22.3 %

CD4/CD8

2.32

IgA

1.62 g/L

IgG

10.5 g/L

IgM

0.89 g/L

C-reactive protein

15 mg/L

Interleukin 6

7.5 pg/L