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

15.5

albumin

26 g/L

preaalbumin

161 mg/L

transferrin

1.88 g/L

Alanine aminotransferase

18 U/L

Total bilirubin

10 mmol/L

CD3

32.9 %

CD4

19.3 %

CD8

12.4 %

CD4/CD8

1.54

IgA

0.72 %

IgG

4.3 %

IgM

0.9 %

C-reactive protein

4.7 mg/L

Interleukin 6

5.3 pg/L

albumin

27 g/L

preaalbumin

199 mg/L

transferrin

1.73 g/L

alanine aminotransferase

33 U/L

Total bilirubin

12 mmol/L

CD3

34.5 %

CD4

19.3 %

CD8

22.4 %

CD4/CD8

0.84

IgA

0.5 g/L

IgG

6.5 g/L

IgM

0.16 g/L

C-reactive protein

2.7 mg/L

Interleukin 6

4.5 pg/L

albumin

27 g/L

preaalbumin

198 mg/L

transferrin

1.38 g/L

Alanine aminotransferase

28 U/L

Total bilirubin

17 mmol/L

CD3

37.4 %

CD4

29.9 %

CD8

21.4 %

CD4/CD8

1.26

IgA

0.86 g/L

IgG

5.15 g/L

IgM

0.97 g/L

C-reactive protein

16 mg/L

Interleukin 6

21.3 pg/L

albumin

28 g/L

preaalbumin

201 mg/L

transferrin

1.38 g/L

Alanine aminotransferase

25 U/L

Total bilirubin

40 mmol/L

CD3

38.2 %

CD4

36.1 %

CD8

26.2 %

CD4/CD8

1.1

IgA

0.81 g/L

IgG

7.69 g/L

IgM

0.77 g/L

C-reactive protein

7 mg/L

Interleukin 6

6.4 pg/L