Complete mobilization of the liver before parenchymal transection has been a standard approach during major hepatectomy. This safe approach is not always feasible for the cases in which it is difficult to mobilize the hepatic lobe involved by large tumors with diaphragmatic invasion. Recently, anterior approach for the right-sided hepatic resection was reported as an alternative method without mobilization of the right lobe. The approach might be adaptive to left hepatectomy without mobilization of the left lobe. We demonstrated here the technique of anterior approach for left-sided hepatic resection to propose the surgical indication of this procedure.