To investigate the classification, and reasonable choice and curative effect of the surgical procedures for pancreatic duct stone.

Clinical data of 18 patients with pancreatic duct stone undergoing surgery in Sun Yat-sen Memorial Hospital, Sun Yat-sen University from January 2010 to December 2012 were retrospectively analyzed. There were 13 males and 5 females with the average age of (53±12) years. Fourteen cases suffered from abdominal pain, 5 complicated with pancreatic cancer, 6 with bile duct stone and 8 with mellitus diabetes. The informed consents of all patients were obtained and the local ethical committee approval was received. Classification, surgical procedures and postoperative complications of the pancreatic duct stone patients during perioperative period and the curative effect during follow-up were observed.

All patients received surgical treatment. Two cases with type Ⅰ pancreatic duct stone underwent pancreaticoduodenectomy (Whipple operation), 8 with type Ⅱ and 1 with type Ⅲ underwent pancreatolithotomy + pancreato-jejunal Roux-en-Y anastomosis (Partington operation). Two with type Ⅲ underwent distal pancreatectomy + splenectomy. Among 5 cases with type Ⅳ, 2 underwent Whipple operation and 3 underwent Partington operation. No patients died during perioperative period. Postoperative complications were observed in 5 cases, including 3 with pancreatic fistula and 2 with ascites, and the patients were cured after symptomatic treatments. Abdominal pain disappeared after surgery in 12 cases and was significantly alleviated in 2 cases. One case complicated with pancreatic cancer died 1 year after surgery. No recurrence of stones was observed in the remaining cases.

Based on the priciple of individualized treatment, reasonable surgical procedure should be choosed according to the classification of pancreatic duct stone. Pancreatolithotomy and pancreatojejunostomy are the main surgical procedures.