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

21.16

albumin

32 g/L

preaalbumin

163 mg/L

transferrin

1.85 g/L

Alanine aminotransferase

26 U/L

Total bilirubin

17 mmol/L

CD3

36.1 %

CD4

35.3 %

CD8

14.4 %

CD4/CD8

2.24

IgA

1.85 %

IgG

3.85 %

IgM

1.02 %

C-reactive protein

8.2 mg/L

Interleukin 6

4.8 pg/L

albumin

40 g/L

preaalbumin

233 mg/L

transferrin

2.21 g/L

alanine aminotransferase

26 U/L

Total bilirubin

17 mmol/L

CD3

51.8 %

CD4

37.6 %

CD8

18.3 %

CD4/CD8

2.18

IgA

1.38 g/L

IgG

5.13 g/L

IgM

0.55 g/L

C-reactive protein

3.2 mg/L

Interleukin 6

6.2 pg/L

albumin

35 g/L

preaalbumin

282 mg/L

transferrin

2.45 g/L

Alanine aminotransferase

26 U/L

Total bilirubin

27 mmol/L

CD3

48.3 %

CD4

36.2 %

CD8

20.8 %

CD4/CD8

1.62

IgA

1.31 g/L

IgG

5.3 g/L

IgM

1.66 g/L

C-reactive protein

12 mg/L

Interleukin 6

7.3 pg/L

albumin

39 g/L

preaalbumin

283 mg/L

transferrin

2.03 g/L

Alanine aminotransferase

33 U/L

Total bilirubin

20 mmol/L

CD3

59.6 %

CD4

40.2 %

CD8

21.5 %

CD4/CD8

2.06

IgA

1.36 g/L

IgG

13.9 g/L

IgM

0.96 g/L

C-reactive protein

5.5 mg/L

Interleukin 6

6.2 pg/L