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

72 years

Body Mass Index

20.18

albumin

39 g/L

preaalbumin

202 mg/L

transferrin

1.79 g/L

Alanine aminotransferase

28 U/L

Total bilirubin

20 mmol/L

CD3

49.5 %

CD4

26.8 %

CD8

16.3 %

CD4/CD8

1.79

IgA

0.43 %

IgG

5.8 %

IgM

0.67 %

C-reactive protein

4.7 mg/L

Interleukin 6

9.8 pg/L

albumin

31 g/L

preaalbumin

241 mg/L

transferrin

1.79 g/L

alanine aminotransferase

23 U/L

Total bilirubin

20 mmol/L

CD3

36 %

CD4

26.8 %

CD8

16.3 %

CD4/CD8

1.67

IgA

0.82 g/L

IgG

6.55 g/L

IgM

1.47 g/L

C-reactive protein

4 mg/L

Interleukin 6

2.9 pg/L

albumin

29 g/L

preaalbumin

212 mg/L

transferrin

1.87 g/L

Alanine aminotransferase

18 U/L

Total bilirubin

33 mmol/L

CD3

56.5 %

CD4

30.4 %

CD8

23.4 %

CD4/CD8

1.14

IgA

0.6 g/L

IgG

8.8 g/L

IgM

0.85 g/L

C-reactive protein

6 mg/L

Interleukin 6

10.2 pg/L

albumin

29 g/L

preaalbumin

188 mg/L

transferrin

1.64 g/L

Alanine aminotransferase

15 U/L

Total bilirubin

11 mmol/L

CD3

49.9 %

CD4

40.4 %

CD8

23.4 %

CD4/CD8

1.78

IgA

0.98 g/L

IgG

8.7 g/L

IgM

0.73 g/L

C-reactive protein

6 mg/L

Interleukin 6

7.2 pg/L