We herein report a case of a 69-year-old male who received hepatectomy for intrahepatic cholangiocarcinoma, re-hepatectomy for intrahepatic recurrence, re-re-hepatectomy for intrahepatic re-recurrence, percutaneous radiofrequency ablation for intrahepatic re-re-recurrence, and re-re-re-hepatectomy for intrahepatic re-re-re-recurrence. The patient has survived more than 50 months. He also received esophagectomy for coexisting esophageal carcinoma with primary intrahepatic cholangiocarcinoma, and has no symptoms of recurrence. Key words: Intrahepatic cholangiocarcinoma, Repeated hepatectomy