■ With the increasing publications in support of laparoscopic adrenalectomy for malignancy, the controversy may ultimately end.

■ Initial laparoscopic results indicate equivalent survival data with open surgical series.

■ Patient selection, sound surgical judgment and technique are paramount for acceptable oncologic results.

■ Concerns about laparoscopic excision of malignant organs, e.g., laparoscopic adrenalectomy includes (i) port-site metastasis and (ii) local recurrence/carcinomatosis.

■ Further follow-up and additional experience is required prior to definitive conclusions regarding this topic.

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