Abstract: Objective To explored the operation opportunity，operation skill and therapeutic effect of emergency pancreaticoduodenectomy for severe pancreaticoduodenal trauma.Methods Seven patients with severe pancreaticoduodenal trauma underwent emergency pancreatoduodenectomy，one with liver rupture repair and right hemicolectomy，and one with left  kidney and splenectomy resection.Results All the operations were successfully completed.Two patients had bile leakage after operation，recovered after the conservative treatment.No evere intraabdominal infection，pancreaticointestinal anastomotic leakage，postoperative bleeding and other complications occurred.There were no reoperations and postoperative death occurred.All patients returned to normal diet and discharged from hospital.Conclusions Emergency pancreatoduodenectomy can be considered as an effective treatment for patients with severe pancreaticoduodenal trauma which can not be cured by other methods.

Key words: emergency pancreaticoduodenectomy, pancreaticojejunostomy, pancreatic trauma, pancreatic leakage