Objective To evaluate the diagnosis and surgical treatment of pancreatic trauma(PT). Methods The clinical data of 41 cases of PT admitted into our hospital in recent 10 years were retrospeclively analysed. Results There were 8cases of PT in grade 1, 16 in grade2, 8 in grade 3, 5 in grade 4, 4 in grade 5 in this series. 12 patients had PT only, 29 (70.7%) had PT with other organs injury. Operation was performed on all 41 cases, of them. 34 cases are recovered; 7 died including 4 with multiple injuries. The mortality was 17.1% . There were 16 complications in this series, including fistula of pancreas and intestinal fistula(39.0%). Preoperative correct diagnosis was made only in 7 cases(17.1%). Conclusions The diagnosis of PT needs analysis and determination of all clinical materials. The exploration laparotomy must be done as early as possible. The chioce of operation should be made according to the condition of the PT to improve the survival rate.