Duodenostomy tube placement using the round ligament of the liver is a promising alternative for enteral nutrition after minimally invasive esophagectomy, significantly reducing the risk of severe postoperative complications.

• In a study of 102 patients, there were no intraoperative or in-hospital complications related to the catheter.
• Long-term, only 1% faced late intestinal obstruction, and 2.9% had manageable infectious complications.

This technique can enhance postoperative management and minimize risks associated with traditional nutritional access methods.