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

74 years

Body Mass Index

18.82

albumin

28 g/L

preaalbumin

20 mg/L

transferrin

2.38 g/L

Alanine aminotransferase

28 U/L

Total bilirubin

12 mmol/L

CD3

51.3 %

CD4

31.8 %

CD8

25.9 %

CD4/CD8

1.22

IgA

1.89 %

IgG

7.9 %

IgM

1.47 %

C-reactive protein

5.8 mg/L

Interleukin 6

2.2 pg/L

albumin

33 g/L

preaalbumin

266 mg/L

transferrin

2.38 g/L

alanine aminotransferase

28 U/L

Total bilirubin

12 mmol/L

CD3

61.4 %

CD4

35.2 %

CD8

25.9 %

CD4/CD8

1.42

IgA

1.43 g/L

IgG

9.3 g/L

IgM

1.13 g/L

C-reactive protein

6.1 mg/L

Interleukin 6

3.5 pg/L

albumin

24 g/L

preaalbumin

180 mg/L

transferrin

1.96 g/L

Alanine aminotransferase

15 U/L

Total bilirubin

20 mmol/L

CD3

49 %

CD4

35.6 %

CD8

22.8 %

CD4/CD8

1.56

IgA

0.77 g/L

IgG

8.1 g/L

IgM

0.73 g/L

C-reactive protein

26 mg/L

Interleukin 6

9.6 pg/L

albumin

29 g/L

preaalbumin

245 mg/L

transferrin

2.06 g/L

Alanine aminotransferase

36 U/L

Total bilirubin

14 mmol/L

CD3

55.7 %

CD4

33.7 %

CD8

26.3 %

CD4/CD8

1.47

IgA

0.92 g/L

IgG

5.7 g/L

IgM

1.23 g/L

C-reactive protein

2.5 mg/L

Interleukin 6

4.4 pg/L