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

70 years

Body Mass Index

21.08

albumin

31 g/L

preaalbumin

140 mg/L

transferrin

2.5 g/L

Alanine aminotransferase

25 U/L

Total bilirubin

11 mmol/L

CD3

61.3 %

CD4

29.5 %

CD8

15.8 %

CD4/CD8

1.38

IgA

0.55 %

IgG

1.85 %

IgM

0.9 %

C-reactive protein

3.8 mg/L

Interleukin 6

1.6 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

24 g/L

preaalbumin

180 mg/L

transferrin

1.52 g/L

Alanine aminotransferase

13 U/L

Total bilirubin

16 mmol/L

CD3

32.3 %

CD4

35.5 %

CD8

18.8 %

CD4/CD8

1.87

IgA

0.29 g/L

IgG

2.55 g/L

IgM

1.31 g/L

C-reactive protein

26 mg/L

Interleukin 6

9.6 pg/L

albumin

28 g/L

preaalbumin

216 mg/L

transferrin

1.46 g/L

Alanine aminotransferase

26 U/L

Total bilirubin

34 mmol/L

CD3

32.7 %

CD4

24.8 %

CD8

19.2 %

CD4/CD8

1.26

IgA

1.45 g/L

IgG

14.5 g/L

IgM

1.47 g/L

C-reactive protein

11 mg/L

Interleukin 6

13.9 pg/L