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cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--icon-only " aria-hidden="true" ><span class="vector-icon mw-ui-icon-listBullet mw-ui-icon-wikimedia-listBullet"></span> <span class="vector-dropdown-label-text">Basculer la table des matières</span> </label> <div class="vector-dropdown-content"> <div id="vector-page-titlebar-toc-unpinned-container" class="vector-unpinned-container"> </div> </div> </div> </nav> <h1 id="firstHeading" class="firstHeading mw-first-heading"><span class="mw-page-title-main">Thyroïdectomie</span></h1> <div id="p-lang-btn" class="vector-dropdown mw-portlet mw-portlet-lang" > <input type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox mw-interlanguage-selector" aria-label="Aller à un article dans une autre langue. Disponible en 17 langues." > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-17" aria-hidden="true" ><span class="vector-icon mw-ui-icon-language-progressive mw-ui-icon-wikimedia-language-progressive"></span> <span class="vector-dropdown-label-text">17 langues</span> </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D8%A7%D8%B3%D8%AA%D8%A6%D8%B5%D8%A7%D9%84_%D8%A7%D9%84%D8%AF%D8%B1%D9%82%D9%8A%D8%A9" title="استئصال الدرقية – arabe" lang="ar" hreflang="ar" data-title="استئصال الدرقية" data-language-autonym="العربية" data-language-local-name="arabe" class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-az mw-list-item"><a href="https://az.wikipedia.org/wiki/Tiroidektomiya" title="Tiroidektomiya – azerbaïdjanais" lang="az" hreflang="az" data-title="Tiroidektomiya" data-language-autonym="Azərbaycanca" data-language-local-name="azerbaïdjanais" class="interlanguage-link-target"><span>Azərbaycanca</span></a></li><li class="interlanguage-link interwiki-ca mw-list-item"><a href="https://ca.wikipedia.org/wiki/Tiroidectomia" title="Tiroidectomia – catalan" lang="ca" hreflang="ca" data-title="Tiroidectomia" data-language-autonym="Català" data-language-local-name="catalan" class="interlanguage-link-target"><span>Català</span></a></li><li class="interlanguage-link interwiki-de badge-Q17437796 badge-featuredarticle mw-list-item" title="article de qualité"><a href="https://de.wikipedia.org/wiki/Thyreoidektomie" title="Thyreoidektomie – allemand" lang="de" hreflang="de" data-title="Thyreoidektomie" data-language-autonym="Deutsch" data-language-local-name="allemand" class="interlanguage-link-target"><span>Deutsch</span></a></li><li class="interlanguage-link interwiki-el mw-list-item"><a href="https://el.wikipedia.org/wiki/%CE%98%CF%85%CF%81%CE%B5%CE%BF%CE%B5%CE%B9%CE%B4%CE%B5%CE%BA%CF%84%CE%BF%CE%BC%CE%AE" title="Θυρεοειδεκτομή – grec" lang="el" hreflang="el" data-title="Θυρεοειδεκτομή" data-language-autonym="Ελληνικά" data-language-local-name="grec" class="interlanguage-link-target"><span>Ελληνικά</span></a></li><li class="interlanguage-link interwiki-en mw-list-item"><a href="https://en.wikipedia.org/wiki/Thyroidectomy" title="Thyroidectomy – anglais" lang="en" hreflang="en" data-title="Thyroidectomy" data-language-autonym="English" data-language-local-name="anglais" class="interlanguage-link-target"><span>English</span></a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Tiroidectom%C3%ADa" title="Tiroidectomía – espagnol" lang="es" hreflang="es" data-title="Tiroidectomía" data-language-autonym="Español" data-language-local-name="espagnol" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D8%AA%DB%8C%D8%B1%D9%88%D8%A6%DB%8C%D8%AF%D8%A8%D8%B1%D8%AF%D8%A7%D8%B1%DB%8C" title="تیروئیدبرداری – persan" lang="fa" hreflang="fa" data-title="تیروئیدبرداری" data-language-autonym="فارسی" data-language-local-name="persan" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-he mw-list-item"><a href="https://he.wikipedia.org/wiki/%D7%9B%D7%A8%D7%99%D7%AA%D7%AA_%D7%91%D7%9C%D7%95%D7%98%D7%AA_%D7%94%D7%AA%D7%A8%D7%99%D7%A1" title="כריתת בלוטת התריס – hébreu" lang="he" hreflang="he" data-title="כריתת בלוטת התריס" data-language-autonym="עברית" data-language-local-name="hébreu" class="interlanguage-link-target"><span>עברית</span></a></li><li class="interlanguage-link interwiki-id mw-list-item"><a href="https://id.wikipedia.org/wiki/Tiroidektomi" title="Tiroidektomi – indonésien" lang="id" hreflang="id" data-title="Tiroidektomi" data-language-autonym="Bahasa Indonesia" data-language-local-name="indonésien" class="interlanguage-link-target"><span>Bahasa Indonesia</span></a></li><li class="interlanguage-link interwiki-it mw-list-item"><a href="https://it.wikipedia.org/wiki/Chirurgia_della_tiroide" title="Chirurgia della tiroide – italien" lang="it" hreflang="it" data-title="Chirurgia della tiroide" data-language-autonym="Italiano" data-language-local-name="italien" class="interlanguage-link-target"><span>Italiano</span></a></li><li class="interlanguage-link interwiki-pl badge-Q17437798 badge-goodarticle mw-list-item" title="bon article"><a href="https://pl.wikipedia.org/wiki/Tyreoidektomia" title="Tyreoidektomia – polonais" lang="pl" hreflang="pl" data-title="Tyreoidektomia" data-language-autonym="Polski" data-language-local-name="polonais" class="interlanguage-link-target"><span>Polski</span></a></li><li class="interlanguage-link interwiki-pt mw-list-item"><a href="https://pt.wikipedia.org/wiki/Tiroidectomia" title="Tiroidectomia – portugais" lang="pt" hreflang="pt" data-title="Tiroidectomia" data-language-autonym="Português" data-language-local-name="portugais" class="interlanguage-link-target"><span>Português</span></a></li><li class="interlanguage-link interwiki-ru mw-list-item"><a href="https://ru.wikipedia.org/wiki/%D0%A2%D0%B8%D1%80%D0%B5%D0%BE%D0%B8%D0%B4%D1%8D%D0%BA%D1%82%D0%BE%D0%BC%D0%B8%D1%8F" title="Тиреоидэктомия – russe" lang="ru" hreflang="ru" data-title="Тиреоидэктомия" data-language-autonym="Русский" data-language-local-name="russe" class="interlanguage-link-target"><span>Русский</span></a></li><li class="interlanguage-link interwiki-uk mw-list-item"><a href="https://uk.wikipedia.org/wiki/%D0%A2%D0%B8%D1%80%D0%B5%D0%BE%D1%97%D0%B4%D0%B5%D0%BA%D1%82%D0%BE%D0%BC%D1%96%D1%8F" title="Тиреоїдектомія – ukrainien" lang="uk" hreflang="uk" data-title="Тиреоїдектомія" data-language-autonym="Українська" data-language-local-name="ukrainien" class="interlanguage-link-target"><span>Українська</span></a></li><li class="interlanguage-link interwiki-vi mw-list-item"><a href="https://vi.wikipedia.org/wiki/C%E1%BA%AFt_tuy%E1%BA%BFn_gi%C3%A1p" title="Cắt tuyến giáp – vietnamien" lang="vi" hreflang="vi" data-title="Cắt tuyến giáp" data-language-autonym="Tiếng Việt" data-language-local-name="vietnamien" class="interlanguage-link-target"><span>Tiếng Việt</span></a></li><li class="interlanguage-link interwiki-zh mw-list-item"><a href="https://zh.wikipedia.org/wiki/%E7%94%B2%E7%8B%80%E8%85%BA%E5%88%87%E9%99%A4%E8%A1%93" title="甲狀腺切除術 – chinois" lang="zh" hreflang="zh" data-title="甲狀腺切除術" data-language-autonym="中文" data-language-local-name="chinois" class="interlanguage-link-target"><span>中文</span></a></li> </ul> <div class="after-portlet after-portlet-lang"><span class="wb-langlinks-edit 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<div id="mw-content-text" class="mw-body-content"><div class="mw-content-ltr mw-parser-output" lang="fr" dir="ltr"><div class="bandeau-container metadata bandeau-article bandeau-niveau-ebauche"><div class="bandeau-cell bandeau-icone" style="display:table-cell;padding-right:0.5em"><span class="noviewer" typeof="mw:File"><a href="/wiki/Fichier:Star_of_life2.svg" class="mw-file-description"><img alt="" src="//upload.wikimedia.org/wikipedia/commons/thumb/5/5b/Star_of_life2.svg/35px-Star_of_life2.svg.png" decoding="async" width="35" height="35" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/5/5b/Star_of_life2.svg/53px-Star_of_life2.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/5/5b/Star_of_life2.svg/70px-Star_of_life2.svg.png 2x" data-file-width="192" data-file-height="192" /></a></span></div><div class="bandeau-cell" style="display:table-cell;padding-right:0.5em"> <p><strong class="bandeau-titre">Cet article est une <a href="/wiki/Aide:%C3%89bauche" title="Aide:Ébauche">ébauche</a> concernant la <a href="/wiki/M%C3%A9decine" title="Médecine">médecine</a>.</strong> </p><p>Vous pouvez partager vos connaissances en l’améliorant (<b><a href="/wiki/Aide:Comment_modifier_une_page" title="Aide:Comment modifier une page">comment ?</a></b>) selon les recommandations des <a href="/wiki/Projet:Accueil" title="Projet:Accueil">projets correspondants</a>. </p> </div></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/Fichier:Thyroid_Surgery.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/4/4a/Thyroid_Surgery.jpg/220px-Thyroid_Surgery.jpg" decoding="async" width="220" height="165" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/4/4a/Thyroid_Surgery.jpg/330px-Thyroid_Surgery.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/4/4a/Thyroid_Surgery.jpg/440px-Thyroid_Surgery.jpg 2x" data-file-width="1600" data-file-height="1200" /></a><figcaption>Thyroïdectomie</figcaption></figure> <p>La <b>thyroïdectomie</b> est une <a href="/wiki/Ex%C3%A9r%C3%A8se" title="Exérèse">exérèse</a> <a href="/wiki/Chirurgie" title="Chirurgie">chirurgicale</a> complète (thyroïdectomie totale) ou partielle (lobectomie) de la <a href="/wiki/Thyro%C3%AFde" class="mw-redirect" title="Thyroïde">thyroïde</a>. </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Technique_chirurgicale">Technique chirurgicale</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Thyro%C3%AFdectomie&veaction=edit&section=1" title="Modifier la section : Technique chirurgicale" class="mw-editsection-visualeditor"><span>modifier</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=Thyro%C3%AFdectomie&action=edit&section=1" title="Modifier le code source de la section : Technique chirurgicale"><span>modifier le code</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Généralement réalisée sous <a href="/wiki/Anesth%C3%A9sie_g%C3%A9n%C3%A9rale" title="Anesthésie générale">anesthésie générale</a>, l'abord de la loge thyroïdienne pourra plus rarement être réalisée sous anesthésie locale-sédation associée ou non à des techniques d'hypnose. Une <a href="/wiki/Incision" title="Incision">incision</a> cervicale antérieure est effectuée à une ou deux largeurs de doigt au-dessus du creux <a href="/wiki/Sternum" title="Sternum">sternal</a> (la base du <a href="/wiki/Cou#Anatomie_du_cou_humain" title="Cou">cou</a>) après repérage des reliefs des cartilages thyroïdes et cricoïdes. L'incision sera poursuivie en profondeur jusqu’à la section du muscle peaucier. Les <a href="/wiki/Muscle_sterno-hyo%C3%AFdien" title="Muscle sterno-hyoïdien">muscles sous hyoïdiens</a> seront séparés en suivant la ligne blanche pour accéder à la loge thyroïdienne. Une dissection au contact de la capsule thyroïdienne sera réalisée jusqu’à ligature de la veine thyroïdienne moyenne à la face latérale du lobe. Le pôle supérieur sera alors libéré après ligature des branches de l'artère thyroïdienne supérieure et des veines attenantes. Le lobe thyroïdienne sera ensuite accouché après repérage du nerf récurrent et des parathyroïdes et ligature des veines thyroïdiennes inférieures. </p><p>En cas de thyroïdectomie totale, on réalisera la même technique pour l'autre lobe thyroïdien. </p><p>Une fois l'exérèse réalisée, une vérification des hémostases est nécessaire après un lavage de l'espace opératoire au <a href="/wiki/S%C3%A9rum_physiologique" class="mw-redirect" title="Sérum physiologique">sérum physiologique</a>. Les <a href="/wiki/Muscle_sterno-hyo%C3%AFdien" title="Muscle sterno-hyoïdien">muscles sous hyoïdiens</a> sont suturés. Des <a href="/wiki/Drainage_(chirurgical)" class="mw-redirect" title="Drainage (chirurgical)">drains</a> peuvent être mis en place en cas de risque hémorragique important. On finira l'intervention par la fermeture du plan sous cutané au fil résorbable. La fermeture de la peau pourra être réalisée par différentes techniques : fils résorbables ou non, points séparés ou surjet intradermique, colle biologique, <abbr class="abbr" title="et cetera">etc.</abbr> </p> <div class="mw-heading mw-heading2"><h2 id="Variantes">Variantes</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Thyro%C3%AFdectomie&veaction=edit&section=2" title="Modifier la section : Variantes" class="mw-editsection-visualeditor"><span>modifier</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=Thyro%C3%AFdectomie&action=edit&section=2" title="Modifier le code source de la section : Variantes"><span>modifier le code</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Sur la base d'un diagnostic affiné, le chirurgien pratiquera une thyroïdectomie </p> <ul><li>totale, subtotale, ou partielle : hémithyroïdectomie, lobectomie ;</li> <li>pratiquée avec ou sans curage, le curage pouvant être récurrentiel ou intéresser les compartiments latéraux ;</li> <li>par manubriotomie ou encore par <a href="/wiki/Sternotomie_m%C3%A9diane" title="Sternotomie médiane">sternotomie médiane</a>.</li></ul> <p>Il peut s'agir d'une simple <a href="/wiki/%C3%89nucl%C3%A9ation" title="Énucléation">énucléation</a> d’un ou plusieurs nodule(s) thyroïdien (s) ou d'une <a href="/wiki/Isthmectomie" class="mw-redirect" title="Isthmectomie">isthmectomie</a> thyroïdienne. </p><p>Chacune de ces variantes correspond à un code d'acte <a href="/wiki/Chirurgie" title="Chirurgie">chirurgical</a> répertorié par le <a href="/wiki/Programme_de_m%C3%A9dicalisation_des_syst%C3%A8mes_d%27information" title="Programme de médicalisation des systèmes d'information">programme de médicalisation des systèmes d'information</a> (PMSI). </p> <div class="mw-heading mw-heading2"><h2 id="Alternative">Alternative</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Thyro%C3%AFdectomie&veaction=edit&section=3" title="Modifier la section : Alternative" class="mw-editsection-visualeditor"><span>modifier</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=Thyro%C3%AFdectomie&action=edit&section=3" title="Modifier le code source de la section : Alternative"><span>modifier le code</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Une alternative utilisant les <a href="/wiki/Ultrasons_focalis%C3%A9s_de_haute_intensit%C3%A9" title="Ultrasons focalisés de haute intensité">ultrasons focalisés de haute intensité</a> ou HIFU a prouvé son efficacité<sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite_crochet">[</span>1<span class="cite_crochet">]</span></a></sup>. Cette méthode est non invasive, sans anesthésie générale et en ambulatoire, elle utilise la chaleur produite par les ultrasons pour détruire le <a href="/wiki/Nodule_thyro%C3%AFdien" title="Nodule thyroïdien">nodule thyroïdien</a> sans chirurgie<sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite_crochet">[</span>2<span class="cite_crochet">]</span></a></sup>. </p> <div class="mw-heading mw-heading2"><h2 id="Notes_et_références"><span id="Notes_et_r.C3.A9f.C3.A9rences"></span>Notes et références</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Thyro%C3%AFdectomie&veaction=edit&section=4" title="Modifier la section : Notes et références" class="mw-editsection-visualeditor"><span>modifier</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=Thyro%C3%AFdectomie&action=edit&section=4" title="Modifier le code source de la section : Notes et références"><span>modifier le code</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="references-small decimal" style=""><div class="mw-references-wrap"><ol class="references"> <li id="cite_note-1"><span class="mw-cite-backlink noprint"><a href="#cite_ref-1">↑</a> </span><span class="reference-text"><span class="ouvrage" id="Wong,_E._Ma2017"><span class="ouvrage" id="B.Lang,_C._Wong,_E._Ma2017"><abbr class="abbr indicateur-langue" title="Langue : anglais">(en)</abbr> B.Lang, C. Wong, E. Ma, « <cite style="font-style:normal" lang="en">Single-session high intensity focussed ablation (HIFU) versus open cervical hemithyroidectomy for benign thyroid nodule: analysis on early efficacy, safety and voice quality</cite> », <i><span class="lang-en" lang="en">International Journal of Hyperthermia</span></i>,‎ <time>2017</time><span class="Z3988" title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Single-session+high+intensity+focussed+ablation+%28HIFU%29+versus+open+cervical+hemithyroidectomy+for+benign+thyroid+nodule%3A+analysis+on+early+efficacy%2C+safety+and+voice+quality&rft.jtitle=International+Journal+of+Hyperthermia&rft.aulast=Wong%2C+E.+Ma&rft.aufirst=B.Lang%2C+C.&rft.date=2017&rfr_id=info%3Asid%2Ffr.wikipedia.org%3AThyro%C3%AFdectomie"></span></span></span></span> </li> <li id="cite_note-2"><span class="mw-cite-backlink noprint"><a href="#cite_ref-2">↑</a> </span><span class="reference-text"><span class="ouvrage">« <a rel="nofollow" class="external text" href="http://www.echotherapie.com/thyroid/accueil/"><cite style="font-style:normal;">Echothérapie: Nodules thyroïdiens</cite></a> »</span></span> </li> </ol></div> </div> <div class="mw-heading mw-heading2"><h2 id="Articles_connexes">Articles connexes</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Thyro%C3%AFdectomie&veaction=edit&section=5" title="Modifier la section : Articles connexes" class="mw-editsection-visualeditor"><span>modifier</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=Thyro%C3%AFdectomie&action=edit&section=5" title="Modifier le code source de la section : Articles connexes"><span>modifier le code</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li><a href="/wiki/L%C3%A9vothyroxine" title="Lévothyroxine">Lévothyroxine</a> : médicament</li></ul> <div class="navbox-container" style="clear:both;"> <table class="navbox collapsible noprint autocollapse" style=""> <tbody><tr><th class="navbox-title" colspan="2" style=""><div style="float:left; width:6em; text-align:left"><div class="noprint plainlinks nowrap tnavbar" style="padding:0; font-size:xx-small; color:var(--color-emphasized, #000000);"><a href="/wiki/Mod%C3%A8le:Palette_Tests_et_proc%C3%A9dures_impliquant_le_syst%C3%A8me_endocrinien" title="Modèle:Palette Tests et procédures impliquant le système endocrinien"><abbr class="abbr" title="Voir ce modèle.">v</abbr></a> · <a class="external text" href="https://fr.wikipedia.org/w/index.php?title=Mod%C3%A8le:Palette_Tests_et_proc%C3%A9dures_impliquant_le_syst%C3%A8me_endocrinien&action=edit"><abbr class="abbr" title="Modifier ce modèle. Merci de prévisualiser avant de sauvegarder.">m</abbr></a></div></div><div style="font-size:110%">Tests et procédures impliquant le <a href="/wiki/Syst%C3%A8me_endocrinien" title="Système endocrinien">système endocrinien</a></div></th> </tr> <tr> <th class="navbox-group" style="width:60px"><a href="/wiki/Pancr%C3%A9as" title="Pancréas">Pancréas</a></th> <td class="navbox-list" style=""><div class="liste-horizontale"> <ul><li>Greffe de cellules d'<a href="/wiki/%C3%8Elot_de_Langerhans" title="Îlot de Langerhans">îlots de Langerhans </a></li></ul> </div></td> </tr> <tr> <th class="navbox-group" style="width:60px"><a href="/wiki/Hypophyse" title="Hypophyse">Hypophyse</a></th> <td class="navbox-list navbox-even" style=""><div class="liste-horizontale"> <ul><li><a href="/w/index.php?title=Hypophysectomie&action=edit&redlink=1" class="new" title="Hypophysectomie (page inexistante)">Hypophysectomie</a></li> <li><a href="/wiki/Chirurgie_trans-sph%C3%A9no%C3%AFdale" title="Chirurgie trans-sphénoïdale">Chirurgie trans-sphénoïdale</a></li></ul> </div></td> </tr> <tr> <th class="navbox-group" style="width:60px"><a href="/wiki/Glande_thyro%C3%AFde" title="Glande thyroïde">Thyroïde</a></th> <td class="navbox-list" style=""><div class="liste-horizontale"> <ul><li><a class="mw-selflink selflink">Thyroïdectomie</a></li></ul> </div></td> </tr> <tr> <th class="navbox-group" style="width:60px"><a href="/wiki/Glande_surr%C3%A9nale" title="Glande surrénale">Surrénale</a></th> <td class="navbox-list navbox-even" style=""><div class="liste-horizontale"> <ul><li><a href="/wiki/Surr%C3%A9nalectomie" title="Surrénalectomie">Surrénalectomie</a></li> <li><a href="/wiki/Test_de_stimulation_%C3%A0_l%E2%80%99ACTH" title="Test de stimulation à l’ACTH">Test de stimulation à l’ACTH</a></li></ul> </div></td> </tr> <tr> <th class="navbox-group" style="width:60px"><a href="/wiki/Glande_pin%C3%A9ale" title="Glande pinéale">Pinéale</a></th> <td class="navbox-list" style=""><div class="liste-horizontale"> <ul><li><a href="/w/index.php?title=Pin%C3%A9alectomie&action=edit&redlink=1" class="new" title="Pinéalectomie (page inexistante)">Pinéalectomie</a></li></ul> </div></td> </tr> </tbody></table> </div> <ul id="bandeau-portail" class="bandeau-portail"><li><span class="bandeau-portail-element"><span class="bandeau-portail-icone"><span class="noviewer" typeof="mw:File"><a href="/wiki/Portail:M%C3%A9decine" title="Portail de la médecine"><img alt="icône décorative" src="//upload.wikimedia.org/wikipedia/commons/thumb/5/5b/Star_of_life2.svg/24px-Star_of_life2.svg.png" decoding="async" width="24" height="24" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/5/5b/Star_of_life2.svg/36px-Star_of_life2.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/5/5b/Star_of_life2.svg/48px-Star_of_life2.svg.png 2x" data-file-width="192" data-file-height="192" /></a></span></span> <span class="bandeau-portail-texte"><a href="/wiki/Portail:M%C3%A9decine" title="Portail:Médecine">Portail de la médecine</a></span> </span></li> </ul>    </div><noscript><img src="https://login.wikimedia.org/wiki/Special:CentralAutoLogin/start?type=1x1&useformat=desktop" alt="" width="1" height="1" style="border: none; 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