To summarize the application skills, experience, common problems and solutions in the process of naso-jejunal feeding tube placement in total da Vinci robotic radical gastrectomy.

192 cases with gastric cancer undergoing naso-jejunal feeding tube placement during total da Vinci robotic D2 radical gastrectomy in the Fourth Hospital of Hebei Medical University between December 2019 and September 2021 were reviewed. The time of naso-jejunal tube insertion, enteral nutrition through tube after operation, first exhaust, and the enteral nutrition-related complications were recorded.

129 cases underwent distal gastrectomy (Billroth’sⅡ+Braun’s anastomosis), 39 cases underwent total gastrectomy (esophageal jejunal π anastomosis), and 24 cases underwent proximal gastrectomy (jejunal interposition anastomosis). 183 cases were satisfied with catheterization, the average time of tube placement was (3.65±2.15) min, the time of enteral nutrition after operation was (16.59±2.43) h, and the time of first exhaust was (3.26±1.52) d. Except for 11 cases with feeding intolerance, the rest of the patients had good tolerance.

The placement of transnasal jejunal nutrition tube in total da Vinci robotic radical gastrectomy is safe and effective, which does not affect the length of operation as a whole, and is the basis for early enteral nutrition therapy.