The laparoscopic technique is becoming the approach of choice as surgical expertise in advanced laparoscopy has developed. Laparoscopy is also being increasingly utilized in the management of gastrointestinal emergencies. In this article, we report a series of 3 patients with ruptured liver tumors who underwent laparoscopic liver resection. The issues surrounding safety, feasibility, and appropriateness of laparoscopic surgical management in these cases are discussed. With appropriate patient selection and preoperative stabilization, laparoscopic resection has a place in the management algorithm of ruptured liver tumors.