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

75 years

Body Mass Index

21.3

albumin

30 g/L

preaalbumin

180 mg/L

transferrin

2.66 g/L

Alanine aminotransferase

6 U/L

Total bilirubin

16 mmol/L

CD3

55.9 %

CD4

37.8 %

CD8

19.2 %

CD4/CD8

1.89

IgA

0.82 %

IgG

8.3 %

IgM

1.13 %

C-reactive protein

6.9 mg/L

Interleukin 6

11.7 pg/L

albumin

34 g/L

preaalbumin

220 mg/L

transferrin

2.66 g/L

alanine aminotransferase

36 U/L

Total bilirubin

13 mmol/L

CD3

58.6 %

CD4

37.8 %

CD8

19.2 %

CD4/CD8

1.47

IgA

1.14 g/L

IgG

8.6 g/L

IgM

0.56 g/L

C-reactive protein

3.6 mg/L

Interleukin 6

8.9 pg/L

albumin

39 g/L

preaalbumin

254 mg/L

transferrin

2.33 g/L

Alanine aminotransferase

28 U/L

Total bilirubin

18 mmol/L

CD3

51.2 %

CD4

37.7 %

CD8

19.9 %

CD4/CD8

1.58

IgA

1.52 g/L

IgG

7.1 g/L

IgM

0.78 g/L

C-reactive protein

90 mg/L

Interleukin 6

54.1 pg/L

albumin

40 g/L

preaalbumin

253 mg/L

transferrin

1.97 g/L

Alanine aminotransferase

19 U/L

Total bilirubin

18 mmol/L

CD3

55.2 %

CD4

37.9 %

CD8

20.6 %

CD4/CD8

1.83

IgA

0.96 g/L

IgG

6.8 g/L

IgM

1.08 g/L

C-reactive protein

3.3 mg/L

Interleukin 6

27.5 pg/L