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

77 years

Body Mass Index

21.61

albumin

32 g/L

preaalbumin

173 mg/L

transferrin

2.47 g/L

Alanine aminotransferase

19 U/L

Total bilirubin

15 mmol/L

CD3

29.8 %

CD4

29.5 %

CD8

21.6 %

CD4/CD8

1.21

IgA

2.03 %

IgG

9.7 %

IgM

0.38 %

C-reactive protein

4.3 mg/L

Interleukin 6

2.9 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

29 g/L

preaalbumin

153 mg/L

transferrin

1.6 g/L

Alanine aminotransferase

27 U/L

Total bilirubin

17 mmol/L

CD3

37.8 %

CD4

37.7 %

CD8

28.7 %

CD4/CD8

1.42

IgA

1.37 g/L

IgG

3.08 g/L

IgM

1.28 g/L

C-reactive protein

88 mg/L

Interleukin 6

62.9 pg/L

albumin

28 g/L

preaalbumin

201 mg/L

transferrin

2.21 g/L

Alanine aminotransferase

28 U/L

Total bilirubin

30 mmol/L

CD3

36.2 %

CD4

26.6 %

CD8

27.1 %

CD4/CD8

0.99

IgA

0.73 g/L

IgG

8.25 g/L

IgM

0.37 g/L

C-reactive protein

33 mg/L

Interleukin 6

11.3 pg/L