We report a full laparoscopic left hepatectomy for intrahepatic cholangiocarcinoma focusing on the technical aspects.A CT scan performed for abdominal pain in a 61-year-old man showed a left bile duct dilation. ERCP and Spyglass with biopsy was performed to confirm location of the lesion and pathology. A left sided intrahepatic cholangiocarcinoma was suspected, and patient was scheduled for laparoscopic left hepatectomyA 3D reconstruction was performed to evaluate the liver anatomy, the relationship of the lesion with major vessels and the borders of the left lobe. The Glissonian pedicle for the left lobe was identified from the liver hilum, taped and temporarly occluded with a bulldog clamp. Middle hepatic vein was used as a guidance during parenchymal transection that was performed by clamp crashing means. Operative time was 410 minutes and blood loss was 70 mL. Patient had an uneventful postoperative course and was discharged home after 10 days.