title: Second cadaveric kidney transplantations in the pediatric population.
abstract: OBJECTIVE
  To evaluate the functional outcomes and complications among a series of second in comparison to first kidney transplantations in pediatric patients.
  
  
  METHODS
  We reviewed 163 consecutive kidney transplants in pediatric recipients performed from 1978 to present: 120 cases (69.3%) were first transplants (group A) and 43 (24.8%), second transplant (group B). We analyzed the incidences of delayed graft function (DGF), medical and surgical complications, as well as medium- and long-term graft survivals.
  
  
  RESULTS
  We observed DGF among 51 group A patients (43%) versus 32.5% of group B. Ten patients suffered vascular complications in group A (8.3%) versus one in group B (2.3%) (P < .05). The 15-year graft survivals were 54.2% for group A and 45% for group B. The 15-year patient survivals were 84.9% in group A versus 93.6% in group B.
  
  
  CONCLUSIONS
  Second kidney transplantations for children are a satisfactory option that achieves good functional results as well as acceptable graft and patient survivals.
authors.affiliation: Department of Urology, Hospital General Universitario Gregorio Marañón, Madrid, Spain. ENLLGA@terra.es
authors.forename: E
authors.initials: E
authors.lastname: Lledó-García
authors.forename: G
authors.initials: G
authors.lastname: Ogaya-Pinies
authors.forename: D
authors.initials: D
authors.lastname: Subirá-Ríos
authors.forename: J
authors.initials: J
authors.lastname: Tabares
authors.forename: E
authors.initials: E
authors.lastname: Paños-Fagundo
authors.forename: D
authors.initials: D
authors.lastname: Morales
authors.forename: C
authors.initials: C
authors.lastname: Hernández-Fernández
authors.forename: A
authors.initials: A
authors.lastname: Luque-de Pablos
mesh_terms: D002648:Child; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation; D008485:Medical Audit; D012086:Reoperation; D016896:Treatment Outcome