背景:Fredet的筋膜是血管外科解剖学的重要标志,尤其是在右侧结肠腺癌的微创完整结肠系膜切除术(CME)中。Fredet的筋膜允许进入Henle的胃结肠干(GCTH),开放和微创右侧CME技术中最关键的一步。尽管如此,最近的一次关于CME腹腔镜右半结肠切除术标准化的专家研讨会没有识别或包括Fredet筋膜或区域这一术语.因此,我们对文章进行了系统的审查,其中包括“Fredet的筋膜或区域”,或其同义词,特别强调发表的文章类型,国籍,以及该区域与手术治疗的相关性。
方法:我们在截至2022年7月15日的PubMed上进行了系统评价,WOS,Scopus,谷歌学者。
结果:研究结果表明,“Fredet的筋膜”一词在英语医学文献中很少使用。此外,该研究发现作者之间关于“Fredet筋膜”的定义及其地形限制有争议和矛盾的数据。
结论:了解Fredet筋膜的手术相关性对于结直肠外科医生在微创右半胆囊切除术中避免意外损伤肠系膜上血管蒂至关重要。为了避免混淆并澄清此筋膜以备将来使用,我们建议改用“描述性术语”来超越同名术语的使用,基于筋膜的解剖结构。Fredet\的筋膜可以,因此,更恰当地改名为“十二指肠胰腺前膜下筋膜”。
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\".