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

66 years

Body Mass Index

19.96

albumin

26 g/L

preaalbumin

188 mg/L

transferrin

0.58 g/L

Alanine aminotransferase

24 U/L

Total bilirubin

14 mmol/L

CD3

37.4 %

CD4

38.3 %

CD8

22.8 %

CD4/CD8

1.82

IgA

0.32 %

IgG

3.3 %

IgM

1.15 %

C-reactive protein

4.6 mg/L

Interleukin 6

3.2 pg/L

albumin

35 g/L

preaalbumin

241 mg/L

transferrin

1.36 g/L

alanine aminotransferase

24 U/L

Total bilirubin

14 mmol/L

CD3

46.4 %

CD4

35.8 %

CD8

17.5 %

CD4/CD8

1.5

IgA

1.98 g/L

IgG

6.5 g/L

IgM

1.47 g/L

C-reactive protein

4 mg/L

Interleukin 6

2.8 pg/L

albumin

32 g/L

preaalbumin

236 mg/L

transferrin

2.12 g/L

Alanine aminotransferase

17 U/L

Total bilirubin

27 mmol/L

CD3

52.8 %

CD4

34.2 %

CD8

12.4 %

CD4/CD8

1.42

IgA

1.26 g/L

IgG

6.5 g/L

IgM

0.58 g/L

C-reactive protein

14 mg/L

Interleukin 6

23.3 pg/L

albumin

32 g/L

preaalbumin

268 mg/L

transferrin

2.41 g/L

Alanine aminotransferase

32 U/L

Total bilirubin

23 mmol/L

CD3

53.5 %

CD4

35.6 %

CD8

24.8 %

CD4/CD8

1.55

IgA

0.85 g/L

IgG

8.8 g/L

IgM

1.6 g/L

C-reactive protein

4.1 mg/L

Interleukin 6

2.5 pg/L