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

76 years

Body Mass Index

22.58

albumin

38 g/L

preaalbumin

250 mg/L

transferrin

2.39 g/L

Alanine aminotransferase

16 U/L

Total bilirubin

10 mmol/L

CD3

58.4 %

CD4

28.8 %

CD8

21.7 %

CD4/CD8

1.28

IgA

0.56 %

IgG

8.24 %

IgM

1.47 %

C-reactive protein

2.6 mg/L

Interleukin 6

2 pg/L

albumin

g/L

preaalbumin

mg/L

transferrin

g/L

alanine aminotransferase

U/L

Total bilirubin

mmol/L

CD3

%

CD4

%

CD8

%

CD4/CD8

IgA

g/L

IgG

g/L

IgM

g/L

C-reactive protein

mg/L

Interleukin 6

pg/L

albumin

32 g/L

preaalbumin

188 mg/L

transferrin

1.06 g/L

Alanine aminotransferase

26 U/L

Total bilirubin

9 mmol/L

CD3

34.1 %

CD4

33.3 %

CD8

18.4 %

CD4/CD8

1.64

IgA

1.2 g/L

IgG

1.85 g/L

IgM

1.15 g/L

C-reactive protein

13 mg/L

Interleukin 6

8.4 pg/L

albumin

35 g/L

preaalbumin

239 mg/L

transferrin

1.38 g/L

Alanine aminotransferase

24 U/L

Total bilirubin

16 mmol/L

CD3

36.1 %

CD4

27.8 %

CD8

27.2 %

CD4/CD8

1.02

IgA

1.25 g/L

IgG

7.7 g/L

IgM

0.45 g/L

C-reactive protein

10 mg/L

Interleukin 6

23.5 pg/L