Objective To explore the value of laparoscopic hepatectomy for small hepatocellular carcinoma (HCC) of non-peripheral type. Methods The clinical data of 34 patients with small HCC of non-peripheral type underwent laparoscopic liver resection from March 2008 to April 2011 in our hospital were analyzed retrospectively. Results Thirty-two patients received successful total laparoscopic hepatectomy without blockage of liver blood flow,and 2 were converted to open surgery. The operative time was (162±65) min (100-220 min) and the blood loss was (295±166) ml (100-750 ml). There were postoperative complications in 4 patients, included cross-section bleeding in 2 cases and ascites in 2 cases. There were no complications such as biliary fistula, infection, carbon dioxide gas embolism, and so on. The mortality of perioperative period was 0. The postoperative hospital stay was (6±2) d (4-9 d). The follow-up time was (23±7) months (5-42 months). Thirteen patients developed intrahepatic tumor recurrence during follow-up. The overall and recurrence-free survival rate one year after operation was 90.6% (29/32)and 75.0% (24/32), respectively. Conclusions Laparoscopic hepatectomy is a safe, feasible, and minimal invasive approach for small HCC of non-peripheral type,and it can be considered as a alternative treatment of HCC.