Minimal invasive procedure in surgery became the hot issue in surgical field. Laparoscopic surgery has widen its application in abdominal surgery. Laparoscopic surgery would be favorable if the therapeutic efficiency is same or superior than open laparotomy, because its physical insult to the patient less than that from conventional operation. Laparoscopic adrenalectomy has been introduced recently as laparoscopic procedures have been popular. We experienced two cases of laparoscopic adrenalectomy in patients with adrenal adenoma. Two patients had aldosteron producing tumor with the size less than 3cm, one had tumor in left adrenal gland and the other had the tumor in right. We used the lateral trans-abdominal approach and the accomplished the procedures within two hours. There was no remarkable event during laparoscopic surgery and recovery fo two patients was uneventful. We did not experience technical difficulties with right adrenalectomy, although a few had reported the complicated cases with right adrenalectomy. The cosmetic results and return to the normal life was remarkable. In conclusion, Laparoscopic adrenalectomy is a safe procedure if the patient is selected in proper condition.

Keywords: Adrenalectomy, Laparoscopy, Aldosteronism