Postoperative survival analysis of hepatocellular carcinoma patients with liver cirrhosis based on propensity score matching.

OBJECTIVE: Most hepatocellular carcinoma (HCC) patients in China have some degree of liver cirrhosis. The effect of cirrhosis on the long-term prognosis of HCC patients after hepatectomy is still unclear. This study aimed to investigate the effect of liver cirrhosis on the prognosis of HCC patients after hepatectomy. METHODS: Data from patients who underwent hepatectomy and had pathologically confirmed HCC were retrospectively collected. The patients' clinical pathological data were recorded. Propensity score matching (PSM) was used to eliminate the influence of potential confounding factors. The Kaplan-Meier method was used to calculate the recurrence-free survival (RFS) and overall survival (OS) rates, and Cox regression analysis was used to screen for independent risk factors affecting OS and RFS. RESULTS: A total of 1381 HCC patients who were initially treated with hepatectomy were included, including 797 patients with liver cirrhosis. The RFS and OS rates in the group with cirrhosis were significantly lower than those in the group without cirrhosis (after PSM, RFS: P < 0.001; OS: P = 0.001). Subgroup analysis showed that among patients with Barcelona Clinic Liver Cancer (BCLC) stage 0-B disease, RFS and OS were significantly lower in those with cirrhosis than in those without cirrhosis (both P < 0.05); while in patients with stage C disease, there was no significant difference between those with and without cirrhosis. In the group with cirrhosis, alpha-fetoprotein (AFP) > 400, intraoperative blood loss, tumor diameter > 5 cm, satellite lesions, and large vessel invasion were independent risk factors for RFS, while albumin-bilirubin (ALBI) grade, neutrophil-to-lymphocyte ratio (NLR), tumor diameter > 5 cm, satellite lesions, microvascular invasion, and macrovascular invasion were independent risk factors for OS. CONCLUSION: HCC with liver cirrhosis has specific characteristics. Compared with patients without cirrhosis, patients with cirrhosis have worse long-term survival after surgery. In addition, the independent risk factors for RFS and OS are different between patients with cirrhosis and without cirrhosis; liver cirrhosis is an independent risk factor for the long-term prognosis of HCC patients, especially patients with BCLC stage 0-B disease after hepatectomy.

Experimental proposal for performing nonlocal measurement of a product observable.

Due to the restrictions on quantum measurement imposed by relativistic causality, it is not easy to perform a nonlocal measurement on spacelike separated systems instantaneously. Here we design an experiment in an optical system to perform the nonlocal measurement of a product observable on a two-qubit system, where a maximally-entangled two-qubit state, acting as an ancillary meter, and three identical Kerr media are used to couple the system under consideration and the target meter. It is shown that the nonlocal measurement of the product observable, σzA⊗σzB, which has two degenerate eigenvalues, could be implemented in a deterministic way without violating relativistic causality.

Tracing the trajectory of photons through Fourier spectrum.

By slightly vibrating the mirrors in an interferometer at different frequencies, the photons' trajectory information is stored in the light beam. To read out this information, we record the centroid location of the intensity distribution of output beam and Fourier analyze its time evolution. It is shown that every vibrating mirror contributes a peak in the Fourier spectrum. In other words, we can reveal the trajectory of the photons by figuring out the vibrating mirrors which ever interact with the light beam based on the Fourier spectrum. This techniques is not limited by the vibration amplitude of the mirrors.