Comparative Outcomes of Early Versus Delayed Ryle's Tube Removal Following Laparoscopic Cholecystectomy: Less Tube,...

Area of Science:

• Surgical outcomes research
• Gastroenterology
• Patient recovery optimization

Background:

• Nasogastric (Ryle's) tube decompression is standard in laparoscopic cholecystectomy.
• Optimal timing for Ryle's tube removal remains unclear.
• This study compares intraoperative versus postoperative removal.

Purpose of the Study:

• Evaluate early (on-table) vs. delayed (postoperative) Ryle's tube removal.
• Focus on recovery outcomes in elective laparoscopic cholecystectomy.
• Determine the impact on oral intake, PONV, and hospital stay.

Main Methods:

• Retrospective observational study of 144 patients.
• Group A: On-table Ryle's tube removal (n=72).
• Group B: Postoperative Ryle's tube removal (n=72).
• Analysis of time to oral intake, PONV, pulmonary complications, sore throat, and hospital stay.

Main Results:

• On-table removal group showed significantly earlier oral intake (5.2 vs. 8.4 hours).
• Reduced postoperative nausea and vomiting (PONV) in the early removal group (18.1% vs. 37.5%).
• Shorter hospital stay (1.8 vs. 2.4 days) and less throat discomfort with early removal.

Conclusions:

• Early, on-table Ryle's tube removal enhances postoperative recovery.
• Associated with improved oral intake, reduced PONV, and decreased discomfort.
• Supports integration into enhanced recovery after surgery protocols.