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

77 years

Body Mass Index

20.48

albumin

35 g/L

preaalbumin

147 mg/L

transferrin

1.82 g/L

Alanine aminotransferase

20 U/L

Total bilirubin

11 mmol/L

CD3

57.9 %

CD4

35 %

CD8

19.6 %

CD4/CD8

1.77

IgA

2.33 %

IgG

4.7 %

IgM

1.08 %

C-reactive protein

6 mg/L

Interleukin 6

3.7 pg/L

albumin

38 g/L

preaalbumin

247 mg/L

transferrin

1.92 g/L

alanine aminotransferase

22 U/L

Total bilirubin

11 mmol/L

CD3

69.7 %

CD4

39.3 %

CD8

19.4 %

CD4/CD8

1.86

IgA

2.32 g/L

IgG

5.6 g/L

IgM

1.08 g/L

C-reactive protein

6.3 mg/L

Interleukin 6

3.7 pg/L

albumin

28 g/L

preaalbumin

255 mg/L

transferrin

1.96 g/L

Alanine aminotransferase

12 U/L

Total bilirubin

23 mmol/L

CD3

58.3 %

CD4

33.8 %

CD8

23 %

CD4/CD8

1.58

IgA

1.52 g/L

IgG

8.6 g/L

IgM

0.83 g/L

C-reactive protein

20 mg/L

Interleukin 6

13.4 pg/L

albumin

32 g/L

preaalbumin

198 mg/L

transferrin

1.82 g/L

Alanine aminotransferase

29 U/L

Total bilirubin

13 mmol/L

CD3

39.7 %

CD4

36.5 %

CD8

18.1 %

CD4/CD8

1.7

IgA

1.74 g/L

IgG

10.6 g/L

IgM

1.33 g/L

C-reactive protein

3.8 mg/L

Interleukin 6

11.7 pg/L