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

18.18

albumin

36 g/L

preaalbumin

220 mg/L

transferrin

1.06 g/L

Alanine aminotransferase

9 U/L

Total bilirubin

13 mmol/L

CD3

58.2 %

CD4

39.8 %

CD8

14.4 %

CD4/CD8

2.25

IgA

1.14 %

IgG

9.8 %

IgM

1.37 %

C-reactive protein

12.5 mg/L

Interleukin 6

3.5 pg/L

albumin

29 g/L

preaalbumin

20 mg/L

transferrin

1.8 g/L

alanine aminotransferase

27 U/L

Total bilirubin

9 mmol/L

CD3

56.2 %

CD4

47.7 %

CD8

22.8 %

CD4/CD8

1.84

IgA

1.89 g/L

IgG

6.9 g/L

IgM

1.27 g/L

C-reactive protein

8 mg/L

Interleukin 6

3.8 pg/L

albumin

33 g/L

preaalbumin

219 mg/L

transferrin

1.38 g/L

Alanine aminotransferase

29 U/L

Total bilirubin

35 mmol/L

CD3

43.1 %

CD4

30.8 %

CD8

22.3 %

CD4/CD8

1.28

IgA

0.86 g/L

IgG

7.6 g/L

IgM

0.77 g/L

C-reactive protein

28 mg/L

Interleukin 6

7.6 pg/L

albumin

37 g/L

preaalbumin

261 mg/L

transferrin

2.12 g/L

Alanine aminotransferase

28 U/L

Total bilirubin

19 mmol/L

CD3

52.2 %

CD4

49.3 %

CD8

20.9 %

CD4/CD8

2.37

IgA

1.77 g/L

IgG

8.6 g/L

IgM

1.22 g/L

C-reactive protein

7 mg/L

Interleukin 6

6.8 pg/L