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

83 years

Body Mass Index

19.27

albumin

32 g/L

preaalbumin

198 mg/L

transferrin

2.3 g/L

Alanine aminotransferase

12 U/L

Total bilirubin

15 mmol/L

CD3

26.6 %

CD4

28.7 %

CD8

18.1 %

CD4/CD8

1.58

IgA

0.78 %

IgG

5.1 %

IgM

0.47 %

C-reactive protein

6.8 mg/L

Interleukin 6

1.5 pg/L

albumin

30 g/L

preaalbumin

200 mg/L

transferrin

1.69 g/L

alanine aminotransferase

21 U/L

Total bilirubin

15 mmol/L

CD3

36.1 %

CD4

30.2 %

CD8

21.6 %

CD4/CD8

1.35

IgA

0.32 g/L

IgG

9.3 g/L

IgM

0.88 g/L

C-reactive protein

5 mg/L

Interleukin 6

3.9 pg/L

albumin

28 g/L

preaalbumin

197 mg/L

transferrin

2.15 g/L

Alanine aminotransferase

20 U/L

Total bilirubin

26 mmol/L

CD3

28.1 %

CD4

29.3 %

CD8

27.2 %

CD4/CD8

1.05

IgA

0.73 g/L

IgG

5.7 g/L

IgM

1.98 g/L

C-reactive protein

22 mg/L

Interleukin 6

6.8 pg/L

albumin

30 g/L

preaalbumin

201 mg/L

transferrin

1.58 g/L

Alanine aminotransferase

20 U/L

Total bilirubin

26 mmol/L

CD3

43.1 %

CD4

30.8 %

CD8

22.3 %

CD4/CD8

1.32

IgA

1.06 g/L

IgG

12.5 g/L

IgM

1.12 g/L

C-reactive protein

21 mg/L

Interleukin 6

7.6 pg/L