摘要：Figures Tables Authors G. Pauleau 1 * G. Goin 1 C. Cazeres 1 F. Sebag 2 P. Balandraud 1 1 Service de chirurgie viscérale, hôpital d’instruction des armées Laveran, 34 boulevard Laveran, BP 60149, 13384 Marseille cedex 13 2 Service de chirurgie endocrinienne, hôpital de la Timone, Marseille, France * Correspondance Key words: thyroidectomy, endemic goiter, developing countries, iodine deficiency DOI : 10.1684/mst.2014.0364 Page(s) : 23-8 Published in: 2015 Thyroid surgery in developing countries is performed by general surgeons with limited diagnostic and therapeutic resources. The aim of this review is to describe the indications for and appropriate type of surgery according to the diseases observed. Endemic goiter (grade 1 and 2) usually regresses with iodine therapy. Surgery is indicated only for its complications: mechanical, neoplastic, or related to hyperthyroidism. The choice of operation depends on the specific disease and also on the likelihood that thyroxine will be continuously available for the patient's lifetime. Total thyroidectomy should be avoided whenever possible if thyroxine supplies are unreliable. Hemithyroidectomy and subtotal thyroidectomy are the techniques that should be used in priority.
