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

20.69

albumin

32 g/L

preaalbumin

192 mg/L

transferrin

1.3 g/L

Alanine aminotransferase

22 U/L

Total bilirubin

12 mmol/L

CD3

32.6 %

CD4

25.2 %

CD8

12.1 %

CD4/CD8

2.15

IgA

1.94 %

IgG

8.75 %

IgM

0.47 %

C-reactive protein

5 mg/L

Interleukin 6

2.2 pg/L

albumin

32 g/L

preaalbumin

240 mg/L

transferrin

1.41 g/L

alanine aminotransferase

12 U/L

Total bilirubin

13 mmol/L

CD3

62.5 %

CD4

33 %

CD8

24.8 %

CD4/CD8

1.32

IgA

1.07 g/L

IgG

6.2 g/L

IgM

0.47 g/L

C-reactive protein

5.7 mg/L

Interleukin 6

2.5 pg/L

albumin

28 g/L

preaalbumin

265 mg/L

transferrin

1.76 g/L

Alanine aminotransferase

78 U/L

Total bilirubin

9 mmol/L

CD3

41.8 %

CD4

27.8 %

CD8

16.2 %

CD4/CD8

1.66

IgA

0.67 g/L

IgG

7.69 g/L

IgM

0.81 g/L

C-reactive protein

7 mg/L

Interleukin 6

21.4 pg/L

albumin

32 g/L

preaalbumin

271 mg/L

transferrin

1.88 g/L

Alanine aminotransferase

63 U/L

Total bilirubin

36 mmol/L

CD3

54.9 %

CD4

29.9 %

CD8

21.4 %

CD4/CD8

1.16

IgA

0.97 g/L

IgG

10.5 g/L

IgM

0.66 g/L

C-reactive protein

16 mg/L

Interleukin 6

9.3 pg/L