ArticleCureus2025
Comparative Outcomes of Early Versus Delayed Ryle's Tube Removal Following Laparoscopic Cholecystectomy: Less Tube, Less Trouble?
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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4 authors.
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Abstract
backgroundNasogastric (Ryle's) tube decompression is commonly used during laparoscopic cholecystectomy to reduce the risk of aspiration and improve visualization. However, the optimal timing of tube removal, whether intraoperative or postoperative, remains uncertain. This study evaluated early (on-table) versus delayed (≥4 hours postoperative) Ryle's tube removal in elective laparoscopic cholecystectomy, focusing on recovery-related outcomes. MATERIALS AND
methodsA retrospective observational study was conducted at R.L. Jalappa Hospital, Kolar, involving 144 patients who underwent elective laparoscopic cholecystectomies from October 2023 to July 2025. Patients were divided into Group A (on-table removal, n = 72) and Group B (postoperative removal, n = 72). Primary and secondary outcomes included time to oral intake, postoperative nausea and vomiting (PONV), pulmonary complications, sore throat/discomfort, and hospital stay. Statistical analyses used independent t-tests and chi-square tests, with significance set at p < 0.05.
resultsBaseline characteristics were comparable between groups (p > 0.05). Group A achieved earlier oral intake (5.2 ± 1.1 hours) compared to Group B (8.4 ± 1.6 hours; p < 0.01). PONV occurred in 13 patients (18.1%) in Group A versus 27 patients (37.5%) in Group B (p = 0.02). Pulmonary complications were seen in three patients (4.2%) in Group A and seven patients (9.7%) in Group B (p = 0.18). Sore throat/discomfort was reported in 9 patients (12.5%) in Group A versus 20 patients (27.8%) in Group B (p = 0.04). The mean length of hospital stay was significantly shorter in Group A (1.8 ± 0.5 days) than in Group B (2.4 ± 0.7 days; p < 0.001).
conclusionsEarly on-table removal of the Ryle's tube is associated with improved postoperative recovery, including earlier oral intake and reduced PONV and throat discomfort. These findings support incorporating early removal into enhanced recovery protocols for elective laparoscopic cholecystectomy.
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