Evidence map›Paper›PMID 37834876›Full record

ReviewJournal of clinical medicine2023

A Systematic Review of Varying Definitions and the Clinical Significance of Fredet's Fascia in the Era of Complete Mesocolic Excision.

Gioia Brachini, Bruno Cirillo, Matteo Matteucci, Roberto Cirocchi, Giovanni Domenico Tebala, Davide Cavaliere, Lorenza Giacobbi, Veronica Papa, Leonardo Solaini, Stefano Avenia and 4 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Thin-Adipose Compartment at the Colonic Mesentery-Perirenal Fat Interface: Histological and Three-Dimensional Morphological Studies.International journal of urology : official journal of the Japanese Urological Association · 2026
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 2 countries.

Gioia BrachiniDepartment of Surgery, Sapienza University of Rome, 00161 Rome, Italy.
Bruno CirilloDepartment of Surgery, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0003-1889-2644
Matteo MatteucciDepartment of Medicine and Surgery, University of Milan, 20122 Milan, Italy.
Roberto CirocchiDepartment of Medicine and Surgery, University of Perugia, 06132 Perugia, Italy.ORCID 0000-0002-2457-0636
Giovanni Domenico TebalaDigestive and Emergency Surgery, AOSP of Terni, 05100 Terni, Italy.ORCID 0000-0001-7152-4096
Davide CavaliereGeneral Surgical Department, Ospedale Degli Infermi Faenza, 48018 Faenza, Italy.
Lorenza GiacobbiDepartment of Medicine and Surgery, University of Perugia, 06132 Perugia, Italy.
Veronica PapaDepartment of Motor Sciences and Wellness, University of Naples "Parthenope", 80132 Napoli, Italy.ORCID 0000-0002-9995-1097
Leonardo SolainiGeneral and Oncologic Surgery, Morgagni-Pierantoni Hospital, Ausl Romagna, 47121 Forlì, Italy.ORCID 0000-0002-5031-9285
Stefano AveniaDepartment of Medicine and Surgery, University of Perugia, 06132 Perugia, Italy.
Vito D'AndreaDepartment of Surgery, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0001-5709-2530
Justin DaviesCambridge Colorectal Unit, Addenbrooke's Hospital, Cambridge University, Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
Piergiorgio FedeliSchool of Law, Legal Medicine, University of Camerino, 62032 Camerino, Italy.ORCID 0000-0003-2287-2582
Elena De SantisDepartment of Surgery, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0001-6415-6969
Sapienza University of Rome · ITUniversity of Perugia · ITOspedale G.B. Morgagni - L.Pierantoni · ITOspedale per gli Infermi · ITParthenope University of Naples · ITUniversità di Camerino · ITUniversity of Cambridge · GBUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFredet'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.

methodsWe conducted a systematic review up to 15 July 2022 on PubMed, WOS, SCOPUS, and Google Scholar.

resultsThe 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.

conclusionsKnowledge 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".

Indexed as

CMEcolon adenocarcinomahemicolectomylaparoscopyright colon

Identifiers

PMID37834876
PMCPMC10573991
OpenAlexW4387119558

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.