Objective: To explore the clinical effect of kidney transplantation from donation after citizen’s death (DCD) of pediatric donors.

Methods: The clinical data of kidney transplantation from DCD pediatric donors from February 2010 to October 2013 were retrospectively reviewed.

Result: There were 27 pediatric DCD donors with age of 10.5±5.2 years, including 19 males and 8 females, 16 cases of China category II and 11 cases of China category III. 6 cases of en bloc kidney transplantation and 42 cases of single kidney transplantation were performed. No primary non-function occurred. The incidence of delayed graft function, slow graft function and immediate graft function were 8.3%, 35.4% and 56.3%, respectively. Acute rejection occurred in 4 cases (8.3%). After follow-up of 5.2±6months, 1 renal graft lost due to antibody-mediated rejection, other grafts functioned well. The mean eGFR（estimated glomerular filtration rate）of adult recipients in 1 year was 76.1±17.7 ml•(min)-1•(1.73m2)-1.

Conclusion: The early clinical effect of kidney transplantation from pediatric donors after cardiac death is excellent. The pediatric DCD donors can be used to expand the donor pool.

Keywords: Kidney transplantation; Pediatric donors; Donation after cardiac death; En bloc kidney transplantation.