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

21.22

albumin

32 g/L

preaalbumin

183 mg/L

transferrin

2.36 g/L

Alanine aminotransferase

12 U/L

Total bilirubin

9 mmol/L

CD3

51.3 %

CD4

33 %

CD8

25.9 %

CD4/CD8

1.32

IgA

1.89 %

IgG

7 %

IgM

1.27 %

C-reactive protein

4.7 mg/L

Interleukin 6

2.5 pg/L

albumin

31 g/L

preaalbumin

233 mg/L

transferrin

2.14 g/L

alanine aminotransferase

24 U/L

Total bilirubin

11 mmol/L

CD3

48.5 %

CD4

31.7 %

CD8

23.8 %

CD4/CD8

1.23

IgA

2.26 g/L

IgG

9.4 g/L

IgM

0.77 g/L

C-reactive protein

3.2 mg/L

Interleukin 6

2.4 pg/L

albumin

31 g/L

preaalbumin

264 mg/L

transferrin

2.55 g/L

Alanine aminotransferase

82 U/L

Total bilirubin

13 mmol/L

CD3

45 %

CD4

21.8 %

CD8

16.8 %

CD4/CD8

1.34

IgA

0.9 g/L

IgG

7.35 g/L

IgM

0.68 g/L

C-reactive protein

15 mg/L

Interleukin 6

21.5 pg/L

albumin

37 g/L

preaalbumin

272 mg/L

transferrin

1.55 g/L

Alanine aminotransferase

28 U/L

Total bilirubin

36 mmol/L

CD3

52.4 %

CD4

39.5 %

CD8

16.8 %

CD4/CD8

2.19

IgA

0.5 g/L

IgG

8.7 g/L

IgM

1.16 g/L

C-reactive protein

15 mg/L

Interleukin 6

9.5 pg/L