Objective: To investigate risk factors and Clavien-Dindo classification of surgical complications after laparoscopic hepatectomy (LH) for hepatocarcinoma with cirrhosis. Methods: Clinical data of 134 patients who underwent LH for hepatocarcinoma with cirrhosis in our hospital from Jan. 2013 to Dec. 2016 were reviewed. The surgical complications were analyzed according to Clavien-Dindo classification and its risk factors were evaluated. Results: Of 134 patients, 30 cases (22.39%) had postoperative surgical complications and 3 cases (2.24%) died. According to the Clavien-Dindo classification, 6 cases were detected in grade I, 6 cases in grade II, 11 cases in grade IV and 3 cases in grade V. Univariate analysis identified the following risk factors as American Society of Anesthesiologist (ASA) classification, Child-Pugh grade, indocyanine green retention at 15 minutes (ICGR15), degree of cirrhosis, future liver volume/total liver volume (FLV/TLV) and surgical experience (P<0.05). But age, gender, staging of Barcelona Clinic Liver Cancer, Edmonson classification, albumin, total bilirubin, prothrombin time, α-fetoprotein, viral hepatitis, lesion size, number of lesions, satellite opacities, micro vascular invasion, tumor capsule, ascites, blood loss, operation time, type of hepatectomy, hepatic portal occlusion, intraoperative blood transfusion and cholecystectomy did not have a significant effect on occurrence of postoperative surgical complications (P>0.05). Logistic regression analysis revealed that ASA grade III, ICGR15 ≥20% and severe cirrhosis were independent risk factors (P<0.05). However, FLV/TLV ≥50% and surgical experience ≥40 cases were independent protective factors (P<0.05). Conclusion: The hepatocarcinoma patients with cirrhosis underwent LH have a high incidence of postoperative surgical complications, especially with high degree of ASA, poor liver function reserve, severe cirrhosis, large extent of hepatectomy, and lack of surgical experience.