Laparoscopic conservative management of adrenal cysts is safe and feasible. Laparoscopic decortication and marsupialization should be the preferred treatment option for symptomatic adrenal cysts. Laparoscopic partial adrenalectomy or a total adrenalectomy can be performed in cases of larger cysts which compromise most of the adrenal gland. To our knowledge, this represents the largest series of symptomatic adrenal cysts managed laparoscopically.
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