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Anastomotic complications were present in 5% of AR patients (3/6 and in 9.3% (45/485) of no release (NoR) patients. AR was associated with resection length ≥ 4 cm (OR 6.15, 95% CI [1.37-27.65]), PTN (7.81 [3.31-18.40]), younger age (0.96 [0.94-0.98]) and lung resection (6.09 [1.33-27.90]). Anastomotic complications in patients with tracheal anastomoses were associated with pre-existing tracheostomy (2.68 [1.50-4.80]), but not release. Tracheal reconstruction succeeds, even when anastomotic tension requires airway release. Since intraoperative asse