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

68 years

Body Mass Index

21.41

albumin

30 g/L

preaalbumin

190 mg/L

transferrin

2.08 g/L

Alanine aminotransferase

18 U/L

Total bilirubin

23 mmol/L

CD3

58.2 %

CD4

31.7 %

CD8

31.8 %

CD4/CD8

0.83

IgA

1.43 %

IgG

4.3 %

IgM

0.56 %

C-reactive protein

3 mg/L

Interleukin 6

6.4 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

25 g/L

preaalbumin

173 mg/L

transferrin

1.78 g/L

Alanine aminotransferase

19 U/L

Total bilirubin

11 mmol/L

CD3

42.9 %

CD4

34.8 %

CD8

21.7 %

CD4/CD8

1.42

IgA

0.36 g/L

IgG

2.56 g/L

IgM

0.24 g/L

C-reactive protein

4 mg/L

Interleukin 6

6.4 pg/L

albumin

33 g/L

preaalbumin

213 mg/L

transferrin

1.92 g/L

Alanine aminotransferase

32 U/L

Total bilirubin

20 mmol/L

CD3

49.9 %

CD4

31 %

CD8

19.4 %

CD4/CD8

1.34

IgA

1.07 g/L

IgG

5.7 g/L

IgM

0.41 g/L

C-reactive protein

11 mg/L

Interleukin 6

8.1 pg/L