A Systematic Review of Varying Definitions and the Clinical Significance of Fredet’s Fascia in the Era of Complete Mesocolic Excision
Background: Fredet’s fascia represents a crucial landmark for vascular surgical anatomy, especially in minimally invasive complete mesocolic excision (CME) for right-sided colon adenocarcinoma. Fredet’s fascia allows access to the gastrocolic trunk of Henle (GCTH), the most critical step in both ope...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/19/6233 |
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| author | Gioia Brachini Bruno Cirillo Matteo Matteucci Roberto Cirocchi Giovanni Domenico Tebala Davide Cavaliere Lorenza Giacobbi Veronica Papa Leonardo Solaini Stefano Avenia Vito D’Andrea Justin Davies Piergiorgio Fedeli Elena De Santis |
| author_facet | Gioia Brachini Bruno Cirillo Matteo Matteucci Roberto Cirocchi Giovanni Domenico Tebala Davide Cavaliere Lorenza Giacobbi Veronica Papa Leonardo Solaini Stefano Avenia Vito D’Andrea Justin Davies Piergiorgio Fedeli Elena De Santis |
| author_sort | Gioia Brachini |
| collection | DOAJ |
| description | Background: Fredet’s fascia represents a crucial landmark for vascular surgical anatomy, especially in minimally invasive complete mesocolic excision (CME) for right-sided colon adenocarcinoma. Fredet’s fascia allows access to the gastrocolic trunk of Henle (GCTH), the most critical step in both open and minimally invasive right-sided CME techniques. Despite this, a recent workshop of expert surgeons on the standardization of the laparoscopic right hemicolectomy with CME did not recognize or include the term of Fredet’s fascia or area. Hence, we undertook a systematic review of articles that include the terms “Fredet’s fascia or area”, or synonyms thereof, with special emphasis on the types of articles published, the nationality, and the relevance of this area to surgical treatments. Methods: We conducted a systematic review up to 15 July 2022 on PubMed, WOS, SCOPUS, and Google Scholar. Results: The results of the study revealed that the term “Fredet’s fascia” is poorly used in the English language medical literature. In addition, the study found controversial and conflicting data among authors regarding the definition of “Fredet’s fascia” and its topographical limits. Conclusions: Knowledge of Fredet’s fascia’s surgical relevance is essential for colorectal surgeons to avoid accidental injuries to the superior mesenteric vascular pedicle during minimally invasive right hemicolectomies with CME. In order to avoid confusion and clarify this fascia for future use, we suggest moving beyond the use of the eponymous term by using a “descriptive term” instead, based on the fascia’s anatomic structure. Fredet’s fascia could, therefore, be more appropriately renamed “sub-mesocolic pre-duodenopancreatic fascia”. |
| first_indexed | 2024-03-10T21:41:46Z |
| format | Article |
| id | doaj.art-7140f876f480453ba2cdc0fd46d625d0 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T21:41:46Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-7140f876f480453ba2cdc0fd46d625d02023-11-19T14:35:56ZengMDPI AGJournal of Clinical Medicine2077-03832023-09-011219623310.3390/jcm12196233A Systematic Review of Varying Definitions and the Clinical Significance of Fredet’s Fascia in the Era of Complete Mesocolic ExcisionGioia Brachini0Bruno Cirillo1Matteo Matteucci2Roberto Cirocchi3Giovanni Domenico Tebala4Davide Cavaliere5Lorenza Giacobbi6Veronica Papa7Leonardo Solaini8Stefano Avenia9Vito D’Andrea10Justin Davies11Piergiorgio Fedeli12Elena De Santis13Department of Surgery, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Surgery, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Medicine and Surgery, University of Milan, 20122 Milan, ItalyDepartment of Medicine and Surgery, University of Perugia, 06132 Perugia, ItalyDigestive and Emergency Surgery, AOSP of Terni, 05100 Terni, ItalyGeneral Surgical Department, Ospedale Degli Infermi Faenza, 48018 Faenza, ItalyDepartment of Medicine and Surgery, University of Perugia, 06132 Perugia, ItalyDepartment of Motor Sciences and Wellness, University of Naples “Parthenope”, 80132 Napoli, ItalyGeneral and Oncologic Surgery, Morgagni-Pierantoni Hospital, Ausl Romagna, 47121 Forlì, ItalyDepartment of Medicine and Surgery, University of Perugia, 06132 Perugia, ItalyDepartment of Surgery, Sapienza University of Rome, 00161 Rome, ItalyCambridge Colorectal Unit, Addenbrooke’s Hospital, Cambridge University, Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UKSchool of Law, Legal Medicine, University of Camerino, 62032 Camerino, ItalyDepartment of Surgery, Sapienza University of Rome, 00161 Rome, ItalyBackground: Fredet’s fascia represents a crucial landmark for vascular surgical anatomy, especially in minimally invasive complete mesocolic excision (CME) for right-sided colon adenocarcinoma. Fredet’s fascia allows access to the gastrocolic trunk of Henle (GCTH), the most critical step in both open and minimally invasive right-sided CME techniques. Despite this, a recent workshop of expert surgeons on the standardization of the laparoscopic right hemicolectomy with CME did not recognize or include the term of Fredet’s fascia or area. Hence, we undertook a systematic review of articles that include the terms “Fredet’s fascia or area”, or synonyms thereof, with special emphasis on the types of articles published, the nationality, and the relevance of this area to surgical treatments. Methods: We conducted a systematic review up to 15 July 2022 on PubMed, WOS, SCOPUS, and Google Scholar. Results: The results of the study revealed that the term “Fredet’s fascia” is poorly used in the English language medical literature. In addition, the study found controversial and conflicting data among authors regarding the definition of “Fredet’s fascia” and its topographical limits. Conclusions: Knowledge of Fredet’s fascia’s surgical relevance is essential for colorectal surgeons to avoid accidental injuries to the superior mesenteric vascular pedicle during minimally invasive right hemicolectomies with CME. In order to avoid confusion and clarify this fascia for future use, we suggest moving beyond the use of the eponymous term by using a “descriptive term” instead, based on the fascia’s anatomic structure. Fredet’s fascia could, therefore, be more appropriately renamed “sub-mesocolic pre-duodenopancreatic fascia”.https://www.mdpi.com/2077-0383/12/19/6233right colonhemicolectomyCMEcolon adenocarcinomalaparoscopy |
| spellingShingle | Gioia Brachini Bruno Cirillo Matteo Matteucci Roberto Cirocchi Giovanni Domenico Tebala Davide Cavaliere Lorenza Giacobbi Veronica Papa Leonardo Solaini Stefano Avenia Vito D’Andrea Justin Davies Piergiorgio Fedeli Elena De Santis A Systematic Review of Varying Definitions and the Clinical Significance of Fredet’s Fascia in the Era of Complete Mesocolic Excision Journal of Clinical Medicine right colon hemicolectomy CME colon adenocarcinoma laparoscopy |
| title | A Systematic Review of Varying Definitions and the Clinical Significance of Fredet’s Fascia in the Era of Complete Mesocolic Excision |
| title_full | A Systematic Review of Varying Definitions and the Clinical Significance of Fredet’s Fascia in the Era of Complete Mesocolic Excision |
| title_fullStr | A Systematic Review of Varying Definitions and the Clinical Significance of Fredet’s Fascia in the Era of Complete Mesocolic Excision |
| title_full_unstemmed | A Systematic Review of Varying Definitions and the Clinical Significance of Fredet’s Fascia in the Era of Complete Mesocolic Excision |
| title_short | A Systematic Review of Varying Definitions and the Clinical Significance of Fredet’s Fascia in the Era of Complete Mesocolic Excision |
| title_sort | systematic review of varying definitions and the clinical significance of fredet s fascia in the era of complete mesocolic excision |
| topic | right colon hemicolectomy CME colon adenocarcinoma laparoscopy |
| url | https://www.mdpi.com/2077-0383/12/19/6233 |
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