Objective:To discuss the experience of diagnosis and surgical treatment of pancreatic trauma. Methods:The clinical data of 15 patients with pancreatic trauma treated surgically from April 2002 to February 2007 in the First Hospital of China Medical University were analyzed.According to American Association for the Surgery of TraumaOrgan Injury Scale (AAST-OIS)，2 cases were in gradeⅠ,7 in grade Ⅱ,3 in grade Ⅲ,2 in grade Ⅳ,and 1 in grade Ⅴ.Five patients received nonsurgery treatments.Ten patients underwent surgeries including débridement and hemostasis of hematoma in pancreatic head and intraperitoneal drainage with multiple tubes in 1 case,suturing and repairing rapture in pancreatic neck also drainage around in 4 cases,ligature of pancreatic duct and suture repair of the pancreatic head with resection of the distal pancreas in 3 cases,and ligature of pancreatic duct and suture repair of the pancreatic head with Roux-en-Y distal pancreaticojejunostomy in 2 cases. Results:Twelve patients fully recovered.Of them,1 developed the pancreatitis and 2 suffered from the pancreatic leakage.These 3 cases recovered with conservative treatment including using pancreas enzyme inhibitor.For remaining 3 cases，2 improved and 1 died of multiple trauma. Conclusion:Early diagnosis and the carefully surgical exploration were the key for treating pancreatic trauma.According to the grade of the pancreatic trauma,reasonable choice of surgical manner might increase cure rate and reduce the postoperative complications.