Surgical treatment for pancreatic duct calculi: a report of 18 cases WANG Kai, WANG Gang, ZOU Shu-bing，et al. Department of Hepatobiliary Surgery, the Second Affiliated Hospital of Nanchang University，Nanchang 330006，China Corresponding author：SHAO Jiang-hua，E-mail: shao5022@163.com Abstract Objective To explore the method of surgical treatment for pancreatic duct calculi. Methods The clinical data of 18 cases of pancreatic duct calculi performed surgery from 2002 to 2007 in the Department of Hepatobiliary Surgery of the Second Affiliated Hospital of Nanchang University were analyzed retrospectively. Results Eleven cases were performed with lateral pancreaticojejunostomy. Five cases were performed pancreaticoduodenectomy. One case was performed with duodenum-preserving pancreatic head resection. One case was performed with distal pancreatectomy and splenectomy. All the cases were cured successfully. No pancreatic or bile fistula was occurred. Improvement of clinical symptoms after surgery was achieved in all cases. All the cases were followed up from 1 month to 5 years. Except one case died of pancreatic carcinoma twenty-eight months after the operation, all other cases were survived. Conclusion Surgical intervention is recommended for pancreatic duct calculi cases. The principle of individualized therapy should be followed.