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

67 years

Body Mass Index

21.01

albumin

38 g/L

preaalbumin

162 mg/L

transferrin

2.16 g/L

Alanine aminotransferase

17 U/L

Total bilirubin

13 mmol/L

CD3

47.9 %

CD4

32.7 %

CD8

18.9 %

CD4/CD8

1.68

IgA

0.66 %

IgG

10.6 %

IgM

1.2 %

C-reactive protein

3 mg/L

Interleukin 6

4.7 pg/L

albumin

29 g/L

preaalbumin

247 mg/L

transferrin

2.21 g/L

alanine aminotransferase

28 U/L

Total bilirubin

19 mmol/L

CD3

42.1 %

CD4

41.8 %

CD8

16.2 %

CD4/CD8

2.24

IgA

1.36 g/L

IgG

7.7 g/L

IgM

0.97 g/L

C-reactive protein

8 mg/L

Interleukin 6

9.1 pg/L

albumin

29 g/L

preaalbumin

268 mg/L

transferrin

1.76 g/L

Alanine aminotransferase

23 U/L

Total bilirubin

39 mmol/L

CD3

43.5 %

CD4

20.9 %

CD8

13.8 %

CD4/CD8

1.37

IgA

0.24 g/L

IgG

7.83 g/L

IgM

1.58 g/L

C-reactive protein

17 mg/L

Interleukin 6

9.5 pg/L

albumin

35 g/L

preaalbumin

268 mg/L

transferrin

1.76 g/L

Alanine aminotransferase

14 U/L

Total bilirubin

60 mmol/L

CD3

59.6 %

CD4

30.9 %

CD8

14.8 %

CD4/CD8

2.28

IgA

1.18 g/L

IgG

7.2 g/L

IgM

2.04 g/L

C-reactive protein

21 mg/L

Interleukin 6

15.2 pg/L