Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -
"The main disadvantage of retroperitoneoscopy is that it is not possible to isolate the ureter arriving near the bladder as in laparoscopy. This is a problem because if the indication is VUR, you can leave a long ureteral stump with the risk to have a postoperative reflux with UTI and the risk to have a second procedure to remove the stump."
"The main disadvantage of retroperitoneoscopy is that it is not possible to isolate the ureter arriving near the bladder as in laparoscopy. This is a problem because if the indication is VUR, you can leave a long ureteral stump with the risk to have a postoperative reflux with UTI and the risk to have a second procedure to remove the stump."