Laparoscopic liver resection of the Spiegel lobe by a left-sided approach preserving an accessory left hepatic artery

•The anatomy of the caudate lobe and its proximity to major vascular structures makes this operation a difficult resection.•For tumors located in the Spiegel lobe, the left side approach is the best option.•Retracting to the right the hepatic hilium with a tissue band used as the external Pringle tourniquet can help us to expose de caudate lobe.