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

21.01

albumin

37 g/L

preaalbumin

185 mg/L

transferrin

1.54 g/L

Alanine aminotransferase

31 U/L

Total bilirubin

10 mmol/L

CD3

46.4 %

CD4

31.4 %

CD8

31.7 %

CD4/CD8

0.88

IgA

0.56 %

IgG

8.24 %

IgM

0.36 %

C-reactive protein

6.8 mg/L

Interleukin 6

2.6 pg/L

albumin

35 g/L

preaalbumin

212 mg/L

transferrin

1.76 g/L

alanine aminotransferase

31 U/L

Total bilirubin

10 mmol/L

CD3

49.5 %

CD4

28.2 %

CD8

20.1 %

CD4/CD8

1.45

IgA

0.55 g/L

IgG

2.75 g/L

IgM

0.36 g/L

C-reactive protein

2.8 mg/L

Interleukin 6

2.6 pg/L

albumin

36 g/L

preaalbumin

247 mg/L

transferrin

1.91 g/L

Alanine aminotransferase

22 U/L

Total bilirubin

16 mmol/L

CD3

55.6 %

CD4

32.1 %

CD8

22.6 %

CD4/CD8

1.41

IgA

1.26 g/L

IgG

3.1 g/L

IgM

0.64 g/L

C-reactive protein

8 mg/L

Interleukin 6

16.2 pg/L

albumin

38 g/L

preaalbumin

276 mg/L

transferrin

2.22 g/L

Alanine aminotransferase

20 U/L

Total bilirubin

9 mmol/L

CD3

48.5 %

CD4

37.8 %

CD8

15.8 %

CD4/CD8

2.14

IgA

1.28 g/L

IgG

9.8 g/L

IgM

1.26 g/L

C-reactive protein

24 mg/L

Interleukin 6

17.3 pg/L