Modern concept of spleen preservation management ZHANG Mu, JIANG Hong-chi. Department of General Surgery, the First Affiliated Hospital, Harbin Medical University, Harbin 150001, China Corresponding author: JIANG Hong-chi, E-mail: jianghc@vip.163.com Abstract Since the 1960s, especially in the past 30 years, splenic surgery has developed rapidly because of the intensively study on the physiological function of spleen and the connection between spleen and many diseases. The concept of modern splenic surgery built by progressively accumulating of theory and practice, and formed the theory structure with a preliminary framework. The article retrospects the development and recognition changing of surgery treatment for the splenic trauma, and the consensus and development direction for the management of injuries to the spleen.