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

20.4

albumin

27 g/L

preaalbumin

238 mg/L

transferrin

1.79 g/L

Alanine aminotransferase

22 U/L

Total bilirubin

16 mmol/L

CD3

63.9 %

CD4

37.7 %

CD8

27.7 %

CD4/CD8

1.24

IgA

1.08 %

IgG

6.5 %

IgM

0.55 %

C-reactive protein

12 mg/L

Interleukin 6

3.3 pg/L

albumin

g/L

preaalbumin

mg/L

transferrin

g/L

alanine aminotransferase

U/L

Total bilirubin

mmol/L

CD3

%

CD4

%

CD8

%

CD4/CD8

IgA

g/L

IgG

g/L

IgM

g/L

C-reactive protein

mg/L

Interleukin 6

pg/L

albumin

33 g/L

preaalbumin

218 mg/L

transferrin

1.32 g/L

Alanine aminotransferase

22 U/L

Total bilirubin

9 mmol/L

CD3

57.4 %

CD4

38.5 %

CD8

18.6 %

CD4/CD8

2.06

IgA

1.08 g/L

IgG

2.03 g/L

IgM

0.7 g/L

C-reactive protein

90 mg/L

Interleukin 6

71.3 pg/L

albumin

29 g/L

preaalbumin

199 mg/L

transferrin

1.55 g/L

Alanine aminotransferase

40 U/L

Total bilirubin

29 mmol/L

CD3

48.1 %

CD4

23.2 %

CD8

28 %

CD4/CD8

0.75

IgA

0.14 g/L

IgG

7.3 g/L

IgM

0.57 g/L

C-reactive protein

5 mg/L

Interleukin 6

17.1 pg/L