About Me – Gastrointestinal, Hepatobiliary and Pancreatic Surgery

Giovanni Domenico Tebala, MD FRCS FACS FRSM FCL
Born in Reggio Calabria (Italy) on November 2^nd, 1967

“The Surgeon should operate in three cases:
To join separate things
To separate the things that are joined against nature
To eliminate the superfluous”
(Bruno of Longobucco, 13th cent)

I have been trained as an abdominal surgeon since my first years at the Catholic University School of Medicine. Early in my university course I started attending the Department of General Surgery of the “A. Gemelli” University Hospital, in Rome, Italy. I graduated in 1992 and achieved the specialization degree (MS – CCT) in General Surgery in 1999 at the same University.

During my surgical training, and afterwards, I obtained advanced training in abdominal surgery, with special interest in surgery of the pancreas, liver, biliary tract, stomach, small and large bowel, rectum and anus, laparoscopic and robotic surgery, proctology and pelvic floor surgery, emergency and trauma surgery, upper and lower gastrointestinal endoscopy. Furthermore, I had a good experience in urologic and gynaecological surgery.

My main scientific interest has always been the treatment of cancers of the digestive system (oesophagus, stomach, large bowel) and the hepatobiliopancreatic tract and benign digestive diseases such as inflammatory bowel diseases, diverticular disease, gallstones and injuries of the bile duct, gastroesophageal reflux and hiatus hernia.

From 1999 to 2013 I worked as a Consultant Surgeon at the Aurelia Hospital in Rome, where I have been in charge of the Digestive and LaparoEndoscopic Surgery Unit from 2007 to 2013.

Following my deep aspirations and my continuous search for something new and better for myself, my career, my professionalism and my family, I registered to the General Medical Council (UK) as a Specialist in General Surgery and in march 2013 I have been appointed as a Consultant Gastrointestinal, Laparoscopic and General Surgeon and Colorectal Lead at the Noble’s Hospital, Isle of Man, where I restarted colorectal surgery, implemented a Laparoscopic Colorectal Surgery programme and an Enhanced Recovery After Colorectal Surgery Programme. The utterly positive results obtained in colorectal surgery and in advanced laparoscopic surgery allowed me to be awarded with the Freedom of the City of London in 2017.

After 5 years at the Noble’s, I felt the need to play an active role in the wider surgical UK community and to work in a bigger hospital, so I accepted the offer of a post as a Consultant Colorectal and Emergency Surgeon at the East Kent Hospitals University NHS Foundation Trust, William Harvey Hospital, in Ashford, Kent, but in November 2018 I moved again to take up a post of Consultant Colorectal and Gastrointestinal Surgeon at Frimley Health NHS Foundation Trust, Wexham Park Hospital, Slough, Berkshire. In january 2020 I obtained a post of Consultant Colorectal and Emergency Surgeon at John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust in Oxford and in March 2022 I moved back to Italy to take up a post of Lead Consultant and Head of the Department of Digestive and Emergency Surgery, where I deal mostly with surgical oncology of the digestive tract (with special interest in hepatobiliopancreatic conditions) and perform most of my operations by robotic surgery. I am Visiting Professor of Surgery of the Colon, Rectum and Anus at the General Surgery Training Programme of the University of Perugia. I am also “Training the Trainers” Course Director at the Royal College of Surgeons of England in London.

Education and Qualifications

Maturità Scientifica (High School Diploma) in 1985 at the Liceo Scientifico Leonardo Da Vinci in Reggio Calabria (Italy).
Medical School from 1985 to 1992 at the Catholic University, “A. Gemelli” General Hospital, School of Medicine, in Rome. Medical Degree (MD) (Laurea in Medicina e Chirurgia) certificate in July 1992 (magna – 110/110 – cum laude). Dissertation on “Tissue adhesives and techniques of anastomosis in bowel surgery. Experimental evaluation.”
Italian medical license to practice in 1992 at the Catholic University, “A. Gemelli” General Hospital, School of Medicine, in Rome (score 85/90).
Registration to the Medical Council (Ordine dei Medici) of Reggio Calabria in 1992 (n. 6764).
UK medical license to practice and full registration to the General Medical Council in the Specialist Register (General Surgery) in 2011 (n. 7211387).
Training in General Surgery from 1993 to 1999 at the Catholic University, “A. Gemelli” General Hospital, School of Medicine and Surgery, in Rome. Certificate of Completion of Training (Specializzazione) in General Surgery in November 1999 (magna – 50/50 – cum laude). Dissertation on “Intestinal ostomies, current techniques and future perspectives.”
Fellowship in Hepatobiliary Surgery in 1996 at the Catholic University, “A. Gemelli” General Hospital, School of Medicine, in Rome.
Fellowship in Laparoscopic Surgery in 2004 at the Special School of the Italian Association of Hospital Surgeon (ACOI: Associazione dei Chirurghi Ospedalieri Italiani).
ATLS instructor qualification in 2011 (American College of Surgeons) and in 2016 (Royal College of Surgeons of England).
Fellow of the Royal College of Surgeons of England since 2013, n. 9056127
Fellow of the American College of Surgeons since 2015, n. 03257356
Italian License as Professor of General Surgery from 2023

Career History

From March 2022 – Consultant Surgeon and Head of the Department of Digestive and Emergency Surgery, S.Maria Hospital Trust, Terni.
The Department of Digestive and Emergency Surgery deals with elective and emergency abdominal and pelvic conditions, with a particular interest for the treatment of pancreatic, hepatobiliary, colorectal and oesophagogastric cancers by laparoscopic and robotic surgery. We are focused also on research and education with a strict cooperation with the University of Perugia. Since my arrival in Terni, I have developed and implemented a programme of robotic pancreatic surgery and a programme of surgery for peritoneal primary and metastatic malignancies with advanced techniques (PIPAC and HIPEC).
The S.Maria Hospital Trust is a large University Hospital providing tertiary hospital care for the whole range of human pathologies, both as elective and emergency. The Hospital hosts the University of Perugia School of Medicine and the PostGraduate Training in General Surgery.

From January 2020 to February 2022 – Consultant Colorectal and Emergency Surgeon, Surgical Emergency Unit, Division of General Surgery, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford (UK)My main interest was the treatment of abdominal conditions, mostly in emergency, including surgery for trauma. I also had colorectal and upper GI elective work and cover clinics, theatre and endoscopy sessions at the John Radcliffe Hospital, the Churchill Hospital, the Horton General Hospital and the Foscote Hospital. I have implemented the use of Indocyanine Green fluoroscopy in emergency colorectal and general surgery (colorectal resections, cold and hot cholecystectomy) and the Laser-Assisted Bile duct Exploration by Laparoendoscopy (LABEL) procedure. I have also been leading a team of surgical researchers with many clinical research projects and was clinical and educational supervisor for junior doctors and trainees.The John Radcliffe Hospital is a large tertiary centre University Hospital, housing the Oxford University Medical School and the Oxford Brookes University and a leading centre of medical research and education. It serves local, national and international patients and has a very busy Major Trauma Centre. The John Radcliffe has been ranked within the 10 best hospitals in the world.
From November 2018 to December 2019 – Consultant Gastrointestinal Surgeon, Division of General Surgery, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Slough, Berkshire (UK).
I covered both Colorectal and Upper GI surgery, running theatre sessions and endoscopy sessions at Wexham Park Hospital in Slough and at Heatherwood Hospital in Ascot and clinics also at King Edward VII Hospital in Windsor and at St.Mark’s Hospital in Maidenhead. I was also on the rota for emergency endoscopy for gastrointestinal bleeding.
My main interest was the management of colorectal and upper GI conditions, including colorectal cancer, IBD, gastro-oesophageal reflux disease and benign biliary diseases.
The Wexham Park Hospital is a District General Hospital and is part of the Frimley Health NHS Foundation Trust, which serves a population of about 800,000 in Surrey, Berkshire, Hampshire and Buckinghamshire.

From April 2018 to November 2018 – Consultant Emergency Surgeon, Surgical Division, William Harvey Hospital, East Kent Hospitals University NHS Foundation Trust, Ashford, Kent (UK).I ran theatre sessions and clinics at the William Harvey Hospital, at Estuary View Medical Centre in Whitstable and at Royal Victoria Hospital in Folkestone. I had an endoscopic session a week and was in the rota for hot gallbladder surgery.My main clinical interest was the management of colon and rectal cancer, but my job plan included also upper GI surgery, specifically antireflux surgery and benign biliary surgery.The William Harvey Hospital is a 476-bed Teaching Hospital with all the major surgical and medical specialties of a District General Hospital. It is part of one of the largest hospital trusts in England with five hospitals and community clinics, serving a local population of about 650,000.
From March 2013, to March 2018 – Consultant Gastrointestinal and Laparoscopic Surgeon and Colorectal Lead, Surgical Division, Noble’s Hospital, NHS IOM, Douglas, Isle of Man – Chairman of the Colorectal Cancer Multidisciplinary Team – Lead Clinician for the Bowel Cancer Screening Programme of the Isle of Man.
Since my appointment as Consultant in 2013, I restarted Colorectal Surgery at the Noble’s, which had been stopped in 2012, set up a Colorectal MDT and implemented a Laparoscopic Colorectal Surgery Programme and an Enhanced Recovery Programme.
I produced the hospital policies on the Treatment of Colorectal Cancer and on the Enhanced Recovery in Colorectal Surgery Programme.
I have also brought improvements to the legibility of clinical notes by introducing typed operative reports in general surgery.
I mainly dealt with colorectal and gastrointestinal conditions both in election and in emergency. My main interest was the management of colonic and rectal cancers but I also worked closely with the Consultant Gastroenterologist for the management of patients with inflammatory bowel diseases and with the Gynaecologists and Urologists for the management of complex pelvic conditions.
My other interests were trauma and emergency surgery and upper GI surgery. I developed a particular experience in the treatment of gastric cancers – including a number of GISTs – and GORD.
I managed to obtain support from one of the local charities to buy an ultrasound machine for the use of the division of general surgery and implemented a surgical ultrasound service. I worked very closely to the Public Health Department and I was Lead Clinician for the Bowel Cancer Screening Programme, Isle of Man.
I was clinical and educational supervisor for medical students, junior doctors and surgical trainees and I was appointed as honorary surgical tutor for the University of Edinburgh. I tutored and supervised surgical trainees from the Universities of Rome “Sapienza” and “Tor Vergata” spending long periods of training at the Noble’s and developing there their final dissertations. Furthermore, I set up a laparoscopic skills training lab at the Noble’s and I was appointed as trainer of the School of Laparoscopic Surgery of the Italian Association of Hospital Surgeons.
During that period, I have been very active in the Community, participating to several radio talks and press conferences and organized a public meeting in Douglas “Bowel Cancer Awareness Evening” on the 24th March 2015.
The Noble’s Hospital is a 314-bed teaching hospital with a Surgical Directorate (General Surgery, Colorectal and Gastrointestinal Surgery, Vascular Surgery, Breast Surgery, Urology, Orthopedics, ENT, Ophtalmology, Orthodontics and Maxillo-Facial Surgery, Intensive Care Unit, Emergency Department), a Medical Directorate (General Medicine, Oncology, Nephrology, Gastroenterology, Rheumatology, Endocrinology, Cardiology, Pneumology, Geriatrics and Stroke Unit), Gynaecology and Obstetrics, Paediatrics, Radiology, Pathology, Rehabilitation and Ancillary Services.

From June 2015 to October 2016 – Clinical Director, Division of General and Specialist Surgery, Noble’s Hospital, Douglas (Isle of Man).Management and leadership role, dealing with all the aspect of organization, clinical governance, finance, quality assessment and control, patients’ safety of the Division of Surgery. Management of all medical personnel (eight independent clinical units, theatre, endoscopy). This was an interim role I covered for a limited period.
From January 2000 to January 2013 – Consultant General Surgeon and from 2007 to 2013 Clinical Lead of the Gastrointestinal and Laparoendoscopic Surgery Unit, Aurelia Hospital, Rome (Italy).Main duties were care of patients in the surgical wards, clinics, theatre and endoscopy, A&E.
During this period, I implemented advanced laparoscopic surgery at the Aurelia Hospital and set up a Laparoscopic Surgery Service that was active 24/7 for elective and emergency cases. I also managed to boost the Digestive Endoscopy Service by performing advanced therapeutic endoscopy (lower and upper GI).
My main job was to deal with gastrointestinal acute conditions, mainly malignancy of the large and small bowel, stomach, pancreas and liver but also benign conditions such as biliary stones, diverticular disease, IBD, gastro-oesophageal reflux and abdominal wall hernias.
Big part of my job was also in trauma and emergency surgery. In fact, the Aurelia Hospital is a very busy hospital in particular for emergencies and traumas, being very close to one of the main highways around Rome and having a Level I Trauma Centre (Level II for pelvic injuries). I refined my techniques in trauma surgery, both as damage control and definitive treatment, and worked very closely with the intensivists, orthopaedics (mostly pelvic surgeons) and neurosurgeons in the management of complex traumas. I implemented the use of ultrasound scanning in emergency and trauma and became ATLS instructor. I also worked with the gynaecologists for the management of acute pelvic conditions.
In the same period, I was also Visiting Consultant Abdominal Surgeon at the CardioVascular Centre of the European Hospital in Rome and worked closely with cardiosurgeons and intensivists for the management of abdominal conditions related to cardiac surgery, both in emergency and as elective cases.
During those 13 years I managed to continue my researches on digestive surgery topics and was clinical supervisor and tutor for students, junior doctors and surgical trainees. I was also involved in medical education at the University of Rome “Tor Vergata”, Division of Surgery, and performed clinical and lab researches with both the Universities of Rome “Tor Vergata” and “La Sapienza”.
The Aurelia Hospital is a 250-bed District General Hospital with a Trauma Center and the major surgical and medical specialties (General Surgery, Vascular Surgery, Neurosurgery, Plastic Surgery, Chest Surgery, Urology, Orthopaedics, Traumatology, Gynaecology and Obstetrics, General Medicine, Pneumology, Endocrinology, Nephrology and Haemodyalisis, Cardiology with CCU and Haemodynamics, Intensive Care Unit) alongside with Radiology (including Interventional Radiology), Pathology and Laboratory, and is part of a wide Trust with 6 hospitals in Rome and 4 in the rest of Italy. Aurelia Hospital is a teaching hospital strictly linked with the University of Rome “Tor Vergata”.

From 2001 to 2009 – Various posts of Visiting Professor of Human Anatomy and General Surgery (see Teaching)- Catholic University of Rome
– Catholic University of Campobasso
– University of Rome “Tor Vergata”
– “Claudiana” School, Bolzano
From November 1999 to January 2000 – Locum Consultant in General Surgery at the General Surgery Department of the “L’Immacolata” Hospital, Celano (Italy).My main duties were care of patients in the surgical wards, theatre and endoscopy, audits, quality improvement activities.
I implemented an advanced endoscopy programme and initiated pilot projects in laparoscopic surgery and use of laser in digestive and urologic endoscopy.
My main interest was Coloproctology, so I set up a specialist Coloproctology clinic and implemented new techniques in Coloproctologic surgery.
I was in the group who implemented the Bowel cancer screening programme for the town of Celano, using an innovative immunochemical test instead of the ‘old’ guaiac test.
L’Immacolata is a 90-bed rural hospital with General Surgery, General Medicine and Pathology, located in a small town in the very centre of Italy (Abruzzo).

From September 1994 to November 1999 – Trainee in General Surgery at the Hepatobiliary and Digestive Surgery Unit and the General Surgery Unit of the Catholic University, “A. Gemelli” Hospital, Rome.Main duties were: care of patients in the surgical wards, theatre, endoscopy, clinic, A&E, clinical and basic research, audits, training for junior doctors and medical students.
During this period, I gradually achieved clinical and surgical autonomy, under the supervision and tutorship of the Unit Lead, in general, colorectal, upper GI and HPB. I was in the steering group for the implementation of a programme of basic and advanced laparoscopic surgery and of advanced liver and biliary surgery. I was also in the multidisciplinary clinical and scientific team for the treatment of colorectal cancer and liver metastases.
I had the responsibility to implement the Liver Resections Registry and the Colorectal Cancer Liver Metastases Registry and performed clinical and experimental researches on hepatobiliary and digestive surgery.
My final research and dissertation was on “Intestinal Stomas: experimental evaluation of new techniques”.
The “Agostino Gemelli” University Hospital is a 1200-bed university hospital in Rome, associated with the Catholic University School of Medicine and Surgery, with all the medical and surgical specialties and subspecialties, a busy Level III Trauma Centre and research facilities.

From July 1993 to July 1994 – Head of the Medical Services of the 8^th Support Division (8° Reparto Rifornimenti) of the Italian Army.Care of the medical needs of the military and civil employees working in that Division. Daily clinic. Minor operations.
Environmental health of buildings, premises and facilities of the Division. Legal medicine. Preventive medicine and health education for the military and civil employees. On-call rota at the Military Hospital of Rome.
From July 1992 to August 1994 – Attending Doctor at the Hepatobiliary and Digestive Surgery Unit of the Catholic University, “A. Gemelli” Hospital, Rome.During this period I was committed to the care of patients in the surgical wards, theatre, endoscopy, A&E.
Under the supervision of the Unit Lead, I played an active role in the implementation of laparoscopic surgery in that hospital and in the improvement of techniques, protocols and policies in hepatobiliary surgery. Meanwhile, I performed clinical and experimental researches on hepatobiliary and digestive surgery.
From October 1985 to July 1992 – Master Degree in Medicine and Surgery, Catholic University, “A. Gemelli” General Hospital, School of Medicine, Rome.
Final dissertation: “Tissue adhesives and techniques of anastomosis in bowel surgery: experimental evaluation.”
Internships/Elective (total 6 years):
– Human Anatomy – Year 2 and 3 – anatomical dissections on whole bodies and parties, tutorship to junior students. During this period I was anatomical demonstrator for medical students and was involved in anatomical research.
– Surgery – Year 4 to 7 – patients’ care in the surgical wards, theatre, endoscopy, haemodialysis, A&E, clinical and experimental researches.
Compulsory general training (similar to the Foundation Programme) (total 6 months after the graduation, necessary to get registration to the Italian Medical Council and License to practice):
– General Surgery
– General Medicine
– Gynaecology and Obstetrics

Private Practice

I have been granted privileges at the following private Hospitals:

Azienda Ospedaliera S.Maria (Terni, Italy)
Berkshire Independent Hospital (Reading, UK)
Spire Thames Valley Hospital (Slough, UK)
BMI The Princess Margaret Hospital (Windsor, UK)
Noble’s Hospital Private Wing (Douglas, Isle of Man)
European Hospital (Rome, Italy)
Villa Stuart (Rome, Italy)
Casa di Cura Quisisana (Rome, Italy)
Casa di Cura Villa S.Anna (Reggio Calabria, Italy)

Clinical Skills and Interests

Main clinical skills:

Robotic, laparoscopic and open treatment of the disease of the digestive and hepatobiliopancreatic system, malignant and benign
Robotic, laparoscopic and open treatment of abdominal wall hernias and disasters, including complex abdominal wall reconstructions
Emergency and trauma surgery, by laparoscopic or open access, including chest and vascular trauma.
Digestive endoscopy, both diagnostic and interventional.
Ultrasound scanning

Main non-clinical interests:

History of surgery
Human anatomy
Leadership and Team-Building
Risk management

Courses Attended

2024, 24-25 june – Upper GI Robotic Surgery Course, Grosseto
2024, 8 february – Clinical Insight Hernia, IRCAD, Strasbourg
2023, 19 june – Right colectomy Masterclass, AbMedica, Cerro Maggiore (Milano)
2022-2023 – Healthcare Management School, Università di Tor Vergata, Roma
2022, 21 december – Hepatobiliary Surgeon-led Procedure, Intuitive Course TR300, IRCAD Strasbourg
2022, 20 may – Advanced Hands-on course on Pancreatic Surgery, Humanitas University, Milano
2022, 6 april – AbMedica Tech Insight, Cerro Maggiore (Milano)
2021, 2021, 4-5 september – Applications of Robotics in General Surgery, Delphi International (online)
2021, 17 march – Laser Proctology Webinar, Edge Medical and Metrum Cryoflex (online)
2020, 3 may – Countering Fraud Bribery and Corruption in the NHS – Lone Worker – Mental Health Act 2007, TTM Healthcare (online)
2020, march to april – Antimicrobial Stewardship in Wound Management, BSAC and EWMA (online)
2020, january to march – Oxford Clinical and Educational Supervisor Training (online)
2019, 16 october – Focused Acute Medicine Ultrasound Course, Frimley Park Hospital, Camberley
2019, 11 october – Focused Acute Medicine Ultrasound Course (online)
2019, 27 september – Treatment of Hernias by TAPP and TEP approach, Groupe Hospitalier Diaconesse Croix Saint Simon, Paris
2019, 27 june – Clinical and Educational Supervisor Course, Brighton and Sussex Medical School, Brighton
2017, 6 october – PERT (Pre-Hospital and Emergency Department Resuscitative Thoracotomy Course), RCSE, Surgical Skills and Simulation Centre, Manchester
2017, 18-19 september – LapCoTT (Laparoscopic Colorectal Surgery – Train the Trainers Course), ICENI Centre, Colchester
2016, 22-25 november – Frontiers in Intestinal and Colorectal Diseases, Lecture Course, St. Mark’s Hospital and Academic Institute, London
2016, 8 days from january to july – Applied Leadership. Clinical Leadership Programme, Noble’s Hospital, NHS Leadership Academy
2016, 15 june – Multidisciplinary approach to the pelvis, NVEC Masterclass, EAES Course, Amsterdam
2015, 24-27 november – Frontiers in Intestinal and Colorectal Diseases, Lecture Course, St. Mark’s Hospital and Academic Institute, London
2015, 23-24 february – Training the Trainers: Developing Teaching Skills, Royal College of Surgeons, London
2014, 24-26 november – Good Clinical Practice, online course, University of Oxford
2014, 19 september – Career support skills for educational supervisors, Health Education North-West, Noble’s Hospital, Isle of Man
2014, 23-24 january – Advanced Laparoscopic Biliary Surgery, Royal Infirmary of Edinburgh
2014, 15 january – Clinical and Educational Supervisors Workshop, NHS North-West, Liverpool Medical Institution
2013, 26-29 november – Frontiers in Intestinal and Colorectal Diseases, Lecture Course, St. Mark’s Hospital and Academic Institute, London
2012, 18-19 april – Hands-On Course on “Laparoscopic Ventral Rectopexy”, Gateshead Hospital
2011, 14-15 april – Advanced Trauma Life Support Instructor Course of the American College of Surgeons, Turin
2010, 1-3 july – Advanced Trauma Life Support Course of the American College of Surgeons, Catholic University, Rome
2010, 10-11 may – 19^th Course of Trauma Surgery, National Medical Academy, Ospedale Maggiore, Bologna
2009, 18-22 may – 22^nd Course on Laparoscopic Surgery, General and Laparoscopic Surgery Unit, Castelfranco Veneto
2008, 12-13 november – Course on “Surgery of the Pelvic Floor – live office, live diagnostics and live surgery”, Pelvic Floor Unit, Montecchio Emilia
2008, 9-11 june – Course on Advanced Laparoscopic Surgery, Aesculap Academia, Tuttlingen
2008, 27-29 march – Advanced Trauma Life Support Course of the American College of Surgeons, Catholic University, Rome
2007, 16-18 november – Course for Instructor and Course Director of BLSD
2007, 18 october – Course on “Operative Techniques in Digestive Endoscopy”, Catholic University, Rome
2006, 5-6 june – Course on “Surgery and Associate Treatments of Locally Advanced Abdominal Tumors”, Catholic University, Rome
2006, 24-26 january – Course on “Surgical Treatment of Obstructed Defecation Syndrome”, KH St Elisabeth, Wien
2005, 23-24 may – Masterclass Colorectal Course, Tyco Healthcare Center of Excellence, Elancourt
2004, may to november – Special School of Laparoscopic Surgery of the Italian Association of Hospital Surgeons, Modena and Grosseto.
2003, 9-11 december – 1^st Course of Laparoscopic Colorectal Surgery, S.Giovanni Hospital, Rome. After this course, 15 days clinical attachment at the Division of General Surgery of the S.Giovanni Hospital, Rome
2003, 6-7 february – Laparoscopic Colorectal Surgery Course, European Surgical Institute, Hamburg
2002, 28 december – Basic Life Support – Defibrillation Course, World Emergency Society, Aurelia Hospital, Rome
2002, 12 february – Course of Ultrasonography for Trauma, Aurelia Hospital, Rome
2000, 14-16 september – Course of Ultrasonography of the Italian Society of Ultrasound in Medicine and Biology, Anagni
2000, 8-12 may – Advanced Course on Coloproctology, Colorectal Eporediensis Center, Ivrea
2000, 19-20 april – “Ultrasonography for Surgeons”, Montecatini Terme
1999, 7-11 june – Basic Course on Coloproctology, Colorectal Eporediensis Center, Ivrea
1999, 28 may – 2^nd International Coloproctology Course “Pelvic Floor Disorders: multidisciplinary approach, diagnostic and therapeutic” of the Italian Society of Coloproctology, Desenzano del Garda
1999, 11-13 march – Advanced Trauma Life Support Course of the American College of Surgeons, Catholic University, Rome
1998, 1-4 april – 1^st Course on Liver Surgery of the Italian Association of the Hospital Surgeons, Mauriziano Hospital, Turin
1996, january to march – 2^nd Course on Hepatobiliary Surgery, Catholic University, Rome
1996, 11-13 march – Updating course on Endocrine Surgery “Thyroid diseases”, Catholic University, Rome
1996, january to may – Oncology course, Medical Constantinian Academy, Rome
1995, february to april – 1^st Course of Hepatobiliary Surgery, Catholic University, Rome
1994, 21-23 april – Updating course on Endocrine Surgery “Thyroid cancer”, Catholic University, Rome

Main Research Projects

CRACTOM. “Correlation between intestinale microbiome and outcome in patients with rectal cancer treated by neoadjuvant chemoradiation and surgery”. Italian Health Ministry, 2022. Principal Investigator.

RACBIOMA. “Significance and prognostic value of microbiome and tissue immunity on rectal adenocarcinoma before and after radiation therapy”. Italian Health Ministry, 2022. Research coordinator.

ESINODOP. “Early Sleeve gastrectomy In New Onset Diabetic Obese Patients”. 2022. Head of the Department.

CHECK. “Prophylactic surgery and High temperature IntraPEritoneal Chemotherapy (HIPEC CO2) vs standard surgery in patients with colorectal cancer at high risk of peritoneal carcinomatosis” Collaborative randomised controlled trial by ACOI, AIOM, SIC, SICE, SICO. Local Principal Investigator.

GOETH. “Prophylactic surgery and High temperature IntraPEritoneal Chemotherapy (HIPEC CO2) vs standard surgery in patients with gastric cancer at high risk of peritoneal carcinomatosis”. Collaborative randomised controlled trial by ACOI, AIOM, SIC, SICE, SICO. Local Principal Investigator.

RAM-CaPe. “Use of Pressurized IntraPeritoneal Aerosol Chemotherapy in patients with peritoneal carcinomatosis”. Azienda Ospedaliera S.Maria, Terni. Research Co-ordinator.

AspECT. “Aspirin and Esomeprazole in Barrett’s oesophagus”. Multicentre multifactorial randomized controlled trial. Local Principal Investigator.

IMPACT. “Improve outcomes in patient with locally advanced, recurrent and metastatic colorectal cancer”. Collaborative study of ACPGBI. Local Principal Investigator.

COVID-Surg. Observational multicentre study on the impact of the Covid-19 pandemic on surgical activity in the UK. Local Principal Investigator.

COVID-Ice. International observational multicentre study on the impact of the Covid-19 pandemic on emergency surgical activity by ACOI/WSES. Study coordinator.

Scientific events organised as President or Director

Training the Trainers: Developing Teaching Skills. Course of the Royal College of Surgeons of England, London, 29-30 October 2022 (Course Director)
The surgical Checklist. Polo Scientifico-Didattico, Terni, 11 November 2022 (President)
Training the Trainers: Developing Teaching Skills. Corso Royal College of Surgeons of England, Londra, 8-9 luglio 2023 (Course Director)
Multidisciplinary approach in tumours of the digestive system. Terni, 9-10 November 2023 (President of the Congress)
Course of Basic Robotic Surgery. Terni, 10-11 November 2023 (Course Director)
Minimally Invasive Surgery 3.0. The impact of Complications on Clinical Outcomes and Wellbeing of the Surgeon. Terni, 7 June 2024. (President of the Congress and Lecture on “Geopolitical consequences of a iatrogenic bile duct injury: the strange case of Mr Eden”)
The Cenacles of the Digestive Surgery. Meetings with local GPs. Medical Council, Terni, 4 September – 2 October 2024 (Course Director)
Second Course of Robotic Surgery. Azienda Ospedaliera S.Maria, Terni, 6 September – 11 October 2024 (Course Director)
Third Course of Robotic Surgery. Azienda Ospedaliera S.Maria, Terni, 7 February – 21 March 2025 (Course Director)
Fourth Course of Robotic Surgery. Azienda Ospedaliera S.Maria, Terni, 6 June – 27 June 2025 (Course Director)
Fifth Course of Robotic Surgery. Azienda Ospedaliera S.Maria, Terni, 12 September – 14 November 2025 (Course Director)
Techniques and Surgical Approaches to the Digestive System. ACOI Umbria-Toscana Congress, Terni, 18 October 2025 (President of the Congress)
New Frontiers in Rescue Surgery: experiences and perspectives. Tosco-Umbra Society of Surgery Webinar, 12 December 2025 (Scientific Coordinator)

Faculty

FollowUp after curative bowel resection for cancer, 3^rd Hepatobiliary Surgery Course, A.Gemelli University Hospital, Rome, january 23-25 and february 20-22, 1997 (Lecture)
Preoperative portal vein embolization, 4^th Hepatobiliary Surgery Course, A.Gemelli University Hospital, Rome, january 22-24 and february 19-21, 1998 (Lecture)
New technologies in basic and advanced laparoscopic surgery, Course for doctors and nurses, Aurelia Hospital, Rome, 9 april 2005 and European Hospital, Rome, may 13, 2005 (Lectures)
Laparoscopic emergency surgery and Emergency Laparoscopic Cholecystectomy, 1^st Course on Basic Laparoscopic Surgery, Rome, march 29-31, 2006 (Lectures)
Techniques and Technologies for blood sparing in general surgery, Conference of the “Accademia Lancisiana” on “Bloodless surgery in the Third Millenium”, Rome, 22 January 2008 (Lecture)
Bowel Cancer, Conference on “Screening by Faecal Occult Blood for the prevention and early diagnosis of colon cancer”, Ripi, 10 May 2008 (Lecture)
Laparoscopic surgery as excellence in a rural hospital, 110th Congress of the Italian Society of Surgery, Rome, 19-22 October 2008 (Lecture)
Anatomical and functional aspects of the posterior compartment prolapse and Staging of prolapse and surgical indications. “Cenacoli UROP Lazio”, European Hospital, Rome, 16 November 2009 (Lectures)
State of art of laparoscopic incisional hernia repair. Workshop on “Technologic innovations in surgery of the abdominal wall”, POIT-INMI “Lazzaro Spallanzani”, Rome, 8 June 2010 (Lecture)
Laparoscopic learning curve of the surgical trainee. Laparoscopic cholecystectomy. The Teacher. 22nd National Congress of Videosurgery, Castelvolturno, 7-9 June 2012 (Lecture)
History of Colorectal Surgery from the Ancient Egyptians to the Surgical Robot. (Part 1 and 2). Grand Round Lecture, Keyill Darree, Noble’s Hospital, 23 May e 27 June 2014 (Lectures)
Gastro-Oesophageal Reflux Disease: are we acting in the best interest of our patients? Grand Round Lecture, Keyll Darree, Noble’s Hospital, 13 March 2015 (Lectures)
The Emperor’s New Clothes. A critical appraisal of Evidence Based Medicine. Grand Round Lecture, Keyll Darree, Noble’s Hospital, 20 January 2017 (Lecture)
Colorectal Surgery at the Noble’s 2013-2017. Patient Safety and Quality Forum, Keyll Darree, Noble’s Hospital, 15 March 2017 (Lecture)
ERAS in Colorectal Surgery: management of complications. 119th Congress of the Italian Society of Surgery, Napoli, 18 October 2017 (Lecture)
Gastro-Oesophageal Reflux Disease. Diagnosis and Therapy. Meeting with Berkshire GPs, Postgraduate Centre, Wexham Park Hospital, 15 Marzo 2019 (Lecture)
COVID-19. Surgery: how to restart safely. Webinar ACOI, 29 May 2020 (Discussant)
ACOI in the World. How to become a surgeon? Inaugural round table of the 39th Congress of the Association of Italian Hospital Surgeons, Milano 17-20 October 2021 (Discussant)
Medical writing. The Fridays of the Junior Surgeons. Tosco-Umbra Society of Surgery. Conference Call 8 April 2022 (Moderator)
Early vs Delayed Resection. Round table “Emergencies of colorectal cancer”. Spring Congress of the Italian Society of Emergency and Trauma Surgery, Rome 12-14 May 2022 (Lecture)
Is there any room for mini-invasive treatment of acute complicated pancreatitis? Congress “Emergency Minimally Invasive Surgery: how far have we come?”, Riccione, 27 May 2022 (Lecture)
Mini-Invasive Surgery in Gastric Cancer. Perugia, 16 September 2022 (Moderator)
Right hemicolectomy with CME. 40th Congress of the Association of Italian Hospital Surgeons, Riva del Garda 19-21 September 2022 (Discussant)
Decision-making process for sigmoid volvulus, Emergency General Surgery in the elderly and Go-ahead with short-stay robotic surgery. Italian Surgical Congress, Rome, 9-12 October 2022 (Lectures)
Rectal surgery. Congress of ACOI Toscana Umbria “Colorectal surgery: innovations, ERAS and safety in the operating theatre”, Arezzo, 15 October 2022 (Moderator)
Conflict of interests in healthcare. 21st National Congress of the Association of Medical Endocrinologists, Rome, 20-23 October 2022 (Discussant)
Multidisciplinary approach to bariatric therapy. Terni, 4 November 2022 (Discussant)
Trauma Oggi. 13th Edition. Session on “Laparoscopic Surgery in Emergency”. Rome, 17 November 2022. (Discussant)
The Rectum: Pearls of Anatomy. “Advanced Courses of Laparoscopic Surgery”, Modulo Formativo Retto, ICLO Verona, 26 April 2023 (Lecture)
Surgeon’s corner: when is minimaly invasive surgery possible? Conference “Emergency Minimaly Invasive Surgery 2.0”, San Benedetto del Tronto, 26 May 2023 (Lecture)
The rectum: anatomy to know. Masterclass “La chirurgia del Cancro del Retto: dall’anatomia alle complicanze”. 21st Congress of the Italian Society of Endoscopic Surgery, Roma, 20 june 2023 (Lecture)
When Jaundice is a Surgical Emergency. Congress “Ittero ostruttivo oncologico: update sui tumori della via biliare distale e della testa del pancreas”, Firenze, 6 july 2023 (Lecture)
Liver metastases. Which strategy? Indications and Limitations of Mini-Invasive Surgery, 41’ Congresso della Associazione dei Chirurghi Ospedalieri Italiani, Roma 10-13 September 2023 (Lecture)
How I do it. Retroperitoneal Sarcomas. 125th Congress of the Italian Society of Surgery, Pisa 17-20 September 2023 (Lecture)
Pancreatic cancer. Radical or palliative treatment? Congress “È possibile la prevenzione del cancro del pancreas?”, Viterbo 15 November 2023 (Discussant)
The patient with advanced disease. Role of palliative surgery. ACOI Toscana-Umbria Regional Congress “Attualità e PDTA del tumore colorettale”, Assisi 18 November 2023 (Lecture)
To drain or not to drain. This is the dilemma! 14th Congress “Trauma Oggi”, Roma 30 November 2023 (Lecture)
Organization and management of medicolegal issues in UK. Conference “Chirurgia Ospedaliera: facciamola vivere, non sopravvivere”, Roma 1 December 2023 (Lecture)
Novelties and new perspectives in the surgical treatment of pancreatic cancer. 5th Congress of the Tosco-Umbra Society of Surgery, Orvieto 1-2 December 2023 (Lecture)
Emergency and Trauma Surgery. Online Course on Minimally-Invasive Surgery from Italian Society of Endoscopic Surgery (Lecture).
Oesophago-gastric anastomotic leak. Congresso “Impariamo dai nostri errori 3.0: confrontiamoci ancora”. Rome, 4 October 2024 (Speaker)
Special features in geriatric surgery. Surgery of the pancreas. 126th Congress of the Italian Society of Surgery, Rome 13-16 October 2024 (Speaker)
Consensus SIRC-SICUT. Management of high-surgical risk patients with acute cholecystitis following percutaneous cholecystostomy. A Delphy consensus study. 126th Congress of the Italian Society of Surgery, Rome 13-16 October 2024 (Expert Discussant)
Oncologic HPB Surgery. ACOI Regional Congress Toscana Umbria, Pistoia 19 October 2024 (Moderator)
Medico-legal aspect of informed consent in colorectal emergency surgery. ACOI Regional Congress Toscana Umbria, Pistoia 19 October 2024 (Discussant)
The treatment of stones of gallbladder and biliary ducts. 126th Congress of the Italian Society of Surgery, Rome 13-16 October 2024 (Session President)
Lymph nodes dissection in minimally invasive gastric surgery. Congress “Mini-Invasive surgery in gastric cancer”, Città di Castello 15 November 2024 (Session President)
Minimally invasive access to hernia emergencies. Are we ready? 15th Congress “Trauma Oggi”, Rome, 21 November 2024 (Expert)
Surgical critical care and trauma: Challenge the experts. 15th Congress “Trauma Oggi”, Rome, 21 November 2024 (Expert)
Diagnostic-Therapeutic Pathways in Colorectal Cancer. Agrigento, 14 March 2025 (Discussant)
Indications to Pancreatoduodenectomy. Tosco-Umbra Society of Surgery Congress, Orvieto, 10 May 2025 (Discussant)
Perception of the female body in History of Medicine. International Forum “Women: an intercultural meeting”. Senato della Repubblica, Rome, 27 May 2025 (Speaker)
Microbiome: what it is and how it can influence morbidity in digestive surgery. 43th ACOI National Congress, Rimini, 1-4 June 2025 (Speaker)
Heller procedure failure: is there anything new in the treatment? SIPAD Lazio Regional Congress, Rome, 9 June 2025 (Speaker)
Ovarian neoplasms. Congress “Tracking the way for Umbria’s Gynecology Oncology”, Terni, 12 September 2025 (Moderator)
The role of robotic surgery in the emergency setting. 5th Colorectal Surgery Update and Campus, Rome, 22-24 October 2025 (Speaker)
Upper-GI robotic surgery. Congress “Back to the Future”, Tivoli, 7 November 2025 (Speaker)
Minimally invasive vs open pancreatoduodenectomy for cancer. 4th National Congress of the Italian Association of Hepatobiliopancreatic Surgery, Rome, 12-14 November 2025 (Discussant)
Surgical critical care and trauma: challenge the experts. 16th Congress “Trauma Oggi”, Rome, 20 November 2025 (Expert)
Colon surgery between technique and technology. ACOI Lazio Young, Rome, 21 November 2025 (Discussant)
Preoperative management of pancreatic tumours. Tosco-Umbra Society of Surgery Congress, Firenze, 29 November 2025 (Discussant)

Publications

I am Author of almost 200 scientific publications, mostly on international medical journals.

My most important scientific papers can be found at:

https://www.ncbi.nlm.nih.gov/pubmed/?term=tebala+g

or at www.linkedin.com/in/giovanni-domenico-tebala-95590162

Scientific societies

International:

American College of Surgeons (Fellow)
Royal College of Surgeons of England (Fellow)
Royal Society of Medicine (Fellow)
European Association of Endoscopic Surgery
World Society of Emergency Surgery
Clinical Robotic Surgery Association

National:

Associazione Chirurghi Ospedalieri Italiani (ACOI) – Association of Italian Hospital Surgeons (Regional Delegate for Umbria)
Società Italiana di Chirurgia (SIC) – Italian Society of Surgery
Associazione Italiana Chirurgia Endoscopica e Nuove Tecnologie (SICE) – Italian Association of Endoscopic Surgery and New Technologie
Associazione Italiana di Chirurgia Epatobiliare e Pancreatica (AICEP) – Italian Association of Hepatobiliary and Pancreatic Surgery
Associazione Italiana per lo Studio del Pancreas (AISP) – Italian Association for the Study of the Pancreas
Società Italiana di Fisiopatologia Chirurgica (SIFIPAC) – Italian Society of Surgical Pathophysiology (Regional Delegate for Umbria)
Società Italiana Patologia Apparato Digerente (SIPAD) – Italian Society of Diseases of the Digestive System (Regional Delegate for Umbria)
Società Italiana di Chirurgia d’Urgenza e del Trauma (SICUT) – Italian Society of Emergency and Trauma Surgery
Società Italiana di Chirurgia Geriatrica (SICG) – Italian Society of Geriatric Surgery (Directive Committee)
Collegio degli Storici della Chirurgia – Surgical Historians College
Tosco-Umbra Society of Surgery

Gastrointestinal and Hepatobiliopancreatic Surgery in Italy

Contents:

Main Workplace Address

Private Practice: see here

Career Statement