Abstract: Health history, clinical syndrome and imaging examination are key factors for early diagnosis of pancreatic trauma, while the effects of the test of the serum amylase for the diagnosis of pancreatic trauma remain unclear. Laparotomy plays an important role in the diagnosis of pancreatic trauma for patients, particularly urgent patients. The grading of pancreatic trauma functions as a bridge between the diagnosis and treatment of the pancreatic trauma. So far, the organ injury scale grading system proposed by the American Association for the Surgery of Trauma (AAST OIS) provides guidelines for operative versus nonoperative management in solid organ injuries. Surgery is an important treatment method for pancreatic trauma according to injury control and surgical procedures grading principles. Recently, minimally invasive surgery has been involved in the diagnosis and treatment of the pancreatic trauma.