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

16.23

albumin

27 g/L

preaalbumin

208 mg/L

transferrin

1.48 g/L

Alanine aminotransferase

21 U/L

Total bilirubin

12 mmol/L

CD3

58.2 %

CD4

36.8 %

CD8

15.2 %

CD4/CD8

2.14

IgA

2.12 %

IgG

10.3 %

IgM

1.13 %

C-reactive protein

6 mg/L

Interleukin 6

8.8 pg/L

albumin

30 g/L

preaalbumin

229 mg/L

transferrin

1.93 g/L

alanine aminotransferase

29 U/L

Total bilirubin

14 mmol/L

CD3

34.6 %

CD4

28.5 %

CD8

20.9 %

CD4/CD8

1.21

IgA

1.3 g/L

IgG

9.6 g/L

IgM

0.67 g/L

C-reactive protein

4.6 mg/L

Interleukin 6

8.5 pg/L

albumin

28 g/L

preaalbumin

263 mg/L

transferrin

1.88 g/L

Alanine aminotransferase

17 U/L

Total bilirubin

22 mmol/L

CD3

57.9 %

CD4

37.8 %

CD8

21.6 %

CD4/CD8

1.87

IgA

0.95 g/L

IgG

7.83 g/L

IgM

1.15 g/L

C-reactive protein

14 mg/L

Interleukin 6

17 pg/L

albumin

36 g/L

preaalbumin

263 mg/L

transferrin

1.45 g/L

Alanine aminotransferase

28 U/L

Total bilirubin

14 mmol/L

CD3

57.1 %

CD4

24.8 %

CD8

21.6 %

CD4/CD8

1.12

IgA

0.55 g/L

IgG

7.7 g/L

IgM

0.45 g/L

C-reactive protein

14 mg/L

Interleukin 6

51.8 pg/L