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

66 years

Body Mass Index

16.85

albumin

27 g/L

preaalbumin

188 mg/L

transferrin

1.69 g/L

Alanine aminotransferase

24 U/L

Total bilirubin

8 mmol/L

CD3

37.4 %

CD4

21.1 %

CD8

20.8 %

CD4/CD8

1.02

IgA

1.85 %

IgG

13.3 %

IgM

1.05 %

C-reactive protein

2 mg/L

Interleukin 6

3.4 pg/L

albumin

31 g/L

preaalbumin

203 mg/L

transferrin

1.83 g/L

alanine aminotransferase

25 U/L

Total bilirubin

10 mmol/L

CD3

45.8 %

CD4

31 %

CD8

25.9 %

CD4/CD8

1.32

IgA

1.25 g/L

IgG

9.3 g/L

IgM

0.36 g/L

C-reactive protein

6.2 mg/L

Interleukin 6

8.1 pg/L

albumin

33 g/L

preaalbumin

235 mg/L

transferrin

1.98 g/L

Alanine aminotransferase

17 U/L

Total bilirubin

16 mmol/L

CD3

28.4 %

CD4

18.6 %

CD8

18.4 %

CD4/CD8

1.02

IgA

0.36 g/L

IgG

9.51 g/L

IgM

0.5 g/L

C-reactive protein

17 mg/L

Interleukin 6

18.3 pg/L

albumin

35 g/L

preaalbumin

265 mg/L

transferrin

2.18 g/L

Alanine aminotransferase

26 U/L

Total bilirubin

28 mmol/L

CD3

55.9 %

CD4

38.6 %

CD8

18.4 %

CD4/CD8

2.13

IgA

1.27 g/L

IgG

9.3 g/L

IgM

0.67 g/L

C-reactive protein

37 mg/L

Interleukin 6

32.3 pg/L