The width of a stop-mining coal pillar is of great significance to the stability of the surrounding rock of the main roadway and the safety of production in the mine. This paper focuses on the west panel of Sihe Coal Mine as the engineering background, analyzes the evolution characteristics of front abutment pressure in the mining area under conditions of rapid advancement and large mining height and its sensitivity to influencing factors, explores the coupling mechanism between the width of the stop-mining coal pillar and the surrounding rock of the main roadway, and analyzes the differences in mining pressure characteristics such as internal stress of the coal pillar, vertical stress, deformation, and failure of the main roadway’s surrounding rock under different coal pillar widths with the influence of mining. The comprehensive results indicate that the influence range of front abutment pressure on the working face is 65 m, and the significance ranking of different mining factors acting on it is as follows: mining height > working face length > advancing speed. The rational width of the stop-mining coal pillar is determined to be 80 m while the stress field of the surrounding rock in the main roadway is in a critical state of mining disturbance. Industrial tests have shown that the relative displacements between the roof and floor as well as the ribs of the main roadway are relatively small, at 105 and 260 mm, respectively, which can effectively maintain the stability of the surrounding rock of the main roadway. The research results can provide a scientific basis and engineering reference for the design of stop-mining coal pillars in mines with similar geological conditions.