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6 (± 4.3) kJ. Overall stone-free rate was 85%. The overall complication rate was 17%. Surgeons reported stone retropulsion that interfered with surgery in 2 (1.7%) cases insignificant retropulsion was noted in 16 (10.8%) cases. Poor visualization was reported in three (2.5%) cases and minor difficulties with visibility in four (3.3%) cases. CONCLUSIONS TFL is a safe and effective modality for lithotripsy during PCNL and results in minimal retropulsion.INTRODUCTION Achieving adequate reduction is difficult when performing minimally invas
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