Objective: To investigate the early management of severe traumatic injuries of the pancreas. Methods: The clinical data 24 patients with traumatic injuries of the pancreas treated during January 2006 to April 2015 were retrospectively analyzed. Results: In the whole group of 24 patients, 5 cases with grade I injury and 6 cases with grade II injury underwent debridement of the devitalized tissue and regional drainage, 6 cases with grade III injury received distal pancreatectomy, and of 7 cases with grade IV injury, 2 cases had pancreaticoduodenectomy, 4 cases had Roux-en-Y pancreaticojejunostomy, and one case had debridement of devitalized tissue plus drainage, respectively. Of the entire group, 23 cases were cured and one case died of septic shock. Complications occurred in 15 cases (62.5%), which included pancreatic fistula in 9 cases, traumatic pancreatitis in 3 cases, pancreatic pseudocyst in 2 cases, infections in 2 cases, biliary fistula in one case, and hemorrhagic shock in one case, respectively. Conclusion: Continually adjusting the treatment plan according to the degree of the pancreatic damage, and choosing the appropriate operative procedure and timing, with adequate peripancreatic drainage and irrigation are critical for the successful treatment of traumatic injuries of the pancreas.