 STUDY DESIGN Patients will be identified at MDTat clinic and approached during subsequent contact. A team member from the participating centres will provide an information leaflet, explain and obtain informed consent. Sites have the option of sending patient information sheets by post and patients also have the option of consenting by post. This study is intended to be an exploratory study. The underlying hypothesis being tested is whether patients undergoing extensive surgery have a 13 reduction considered clinically significant difference in Quality of life as compared to patients with a similar cancer burden at 6 months postoperative timepoint that is balanced by a 4 month survival gain in patients in the extensive surgery group. 