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Overview
Dr. Nikhil Agrawal is a dedicated GI-HPB Surgical Oncologist with over two decades of experience managing some of the most complex cancers of the liver, pancreas, gallbladder, stomach, esophagus and biliary system. Unlike general surgical oncologists, his practice is exclusively focused on this high-risk, technically demanding domain.
He has not only treated advanced and anatomically challenging tumours but has built and led GI-HPB oncology programs at leading institutions including ILBS, Dharamshila Narayana, and Max Saket—helping shape structured, minimally invasive cancer surgery pathways in India. A certified robotic surgery proctor, he trains other surgeons in complex robotic procedures.
At Athenaa, his presence means patients gain access to highly specialized surgical judgement—where decisions are thoughtful, evidence-driven, and individualized. For patients facing difficult or borderline operable cancers, this depth of expertise can significantly influence surgical safety, recovery, and long-term outcomes.
Hospital Details
Apollo Hospitals, Delhi
Sarita Vihar, Delhi Mathura Road, New Delhi, DL, 110076
Experience
- Performed 1,500+ advanced minimally invasive and robotic GI-HPB cancer surgeries
- Instrumental in establishing and expanding GI-HPB oncology programs at ILBS, Dharamshila Narayana Superspeciality Hospital, and Max Super Speciality Hospital, Saket
- Helped build one of the country’s advanced robotic and laparoscopic GI-HPB cancer surgery programs
- Certified robotic surgery proctor, mentoring surgeons in complex robotic GI–HPB oncologic procedures
- Extensive academic contribution with multiple peer-reviewed publications in national and international journals, including The Lancet Oncology and Annals of Surgical Oncology
- Active contributor to international collaborative research studies in gastrointestinal cancer surgery
Memberships
- Member, Association of Surgeons of India (ASI)
- Member, Indian Association of Surgical Gastroenterology (IASG)
- Member, Indian Association of Surgical Oncology (IASO)
- Member, International Hepato-Pancreato-Biliary Association – Indian Chapter (IHPBA)
- Member, International Association of Surgeons, Gastroenterologists and Oncologists (IASGO)
- Member, Society for Surgery of the Alimentary Tract (SSAT), USA
Awards
- Executive committee Member, Indian Association of Surgical Gastroenterology
- Over 50 pubmed indexed publications and several book chapters
- Invited faculty for major GI-HPB national and international conferences
Certifications
- Advanced robotic surgery training - da Vinci X/Xi system (2024)
- Fellowship in Laparoscopic Hepatobiliary and Pancreatic Surgery, Seoul National University Bundang Hospital, South Korea (2015)
- Certificate course on pancreas organized by Pancreas India (2013)
- Training Course, Operative Laparoscopy, All India Institute of Medical Sciences (AIIMS), New Delhi, India (2011)
Research and Publication
- ASO Visual Abstract: Laparoscopic Management of Suspected Gallbladder Cancer: Risk Stratified Approach in Thick-Walled Gallbladder and Polyps: Optimizing Surgical Decision-Making with a Tailored Minimally Invasive Approach. Ann Surg Oncol. Published online September 1, 2025. doi:10.1245/s10434-025-18206-8
- ASO Author Reflections: Stratified Precision: Risk-Guided Minimally Invasive Surgical Decision-Making in Thick-Walled Gallbladder and Gallbladder Polyps with Suspected Malignancy. Ann Surg Oncol. Published online August 18, 2025. doi:10.1245/s10434-025-18117-8
- Laparoscopic Management of Suspected Gallbladder Cancer: Risk Stratified Approach in Thick-Walled Gallbladder and Polyps. Ann Surg Oncol. Published online July 31, 2025. doi:10.1245/s10434-025-17989-0
- Diffusion weighted MRI and neutrophil lymphocyte ratio non-invasively predict infection in pancreatic necrosis: a pilot study. ANZ J Surg. 2025;95(3):363-369. doi:10.1111/ans.19301.
- The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study. Colorectal Dis. Published online March 14, 2022. doi:10.1111/codi.16117
- Effect of COVID-19 pandemic lockdowns on planned cancer surgery for 15 tumour types in 61 countries: an international, prospective, cohort study. Lancet Oncol. 2021;22(11):1507-1517. doi:10.1016/S1470-2045(21)00493-9
- Laparoscopic cholecystectomy in patients with portal cavernoma without portal vein decompression. J Minim Access Surg. 2021 Jul-Sep;17(3):351-355. doi: 10.4103/jmas.JMAS_106_20.
- Strategic approach to minimally invasive necrosectomy for necrotizing pancreatitis: technique, complications and predictors of outcome. ANZ J Surg. 2021;91(3):E104-E111.
- Upfront pancreaticoduodenectomy in severely jaundiced patients: is it safe?. J Hepatobiliary Pancreat Sci, 2019;26:524-533.
- Inflammatory pseudotumors of the liver: Importance of a multimodal approach with the insistance of needle biopsy. Journal of Laboratory Physicians, 2019;11:361-368
- Effect of Proximal Splenorenal Shunt on Intraoperative Portal Venous Pressure and Its Correlation with Clinical Outcomes. Indian Journal of Surgery, 2019; 81:338–343
- Prognostic Factors and the Role of Adjuvant Treatment in Periampullary Carcinoma: a Single-Centre Experience of 95 Patients. J Gastrointest Canc (2018). https://doi.org/10.1007/s12029-018-0058-7
- Unusual presentation of fibrolamellar carcinoma: A rare case report. Indian Journal of Case Reports, 4(1) (2017, November 30).
- Computed Tomography (CT) and Magnetic Resonance (MR) Findings in Xanthogranulomatous Cholecystitis: Retrospective Analysis of Pathologically Proven 30 Cases – Tertiary Care Experience. Pol J Radiol 2017; 82:327-332.
- Ileostomy site approach for adhesiolysis and laparoscopic cholecystectomy in a hostile abdomen: a novel technique. (Accepted in JMAS)
- Ampullary Mixed Adenoneuroendocrine Carcinoma: Surprise Histology, Familiar Management. Int J Surg Pathol. 2017;25(7):585-591
- Imaging Paradigm of Cystic Lesions in Pancreas. JOP 2016;17(5):452-465.
- Cystic Lymphangioma of Pancreas. Indian journal of surgical oncology 2016;7(1)106-109.
- Hepatobiliary IgG4 Cholangiopathy Case Series and Literature Review. International journal of surgical pathology 2015;23:531-6.
- Retrieval of an impacted foreign body in the oesophagus by combined endoscopic-surgical approach. Tropical gastroenterology: official journal of the Digestive Diseases Foundation 2014;35:185.
- Asymptomatic Transhiatal Pancreatic Herniation after Oesophagectomy. Journal of clinical and diagnostic research: JCDR 2014;8:ND24.
- Percutaneous transhepatic portal vein stenting in a patient with benign non transplant post-operative portal vein stenosis: A case report. Indian J Radiol Imaging 2013;23:351.
- Randomized Trial Comparing Side-to-Side Stapled and Hand-Sewn Esophagogastric Anastomosis in Neck. J Gastrointest Surg 2012;16:1287-95.
- Spontaneous Common Bile Duct Perforation Presenting as Acute Abdomen. Indian Journal of Surgery. 2010;72(5):407-8.
- Giant lymphatic cyst of omentum: a case report. Cases J. 2009;2:23.
- Activated protein C resistance in deep venous thrombosis. Ann Vasc Surg. 2009 May-Jun;23(3):364-6.
- Predictive Factors for Difficult Surgery in Laparoscopic Cholecystectomy for Chronic Cholecystitis. The Internet Journal of Surgery. 2008;16(2).
- Intestinal gangrene due to mesenteric vascular occlusion masquerading as strangulated inguinal hernia. Hernia. 2008 Apr;12(2):195-7.
- Isolated splenic tuberculosis presenting with splenomegaly and pyrexia of unknown origin. ANZ J Surg. 2008 Apr;78(4):322-3.
- Aggressive angiomyxoma presenting with huge abdominal lump: A case report. Cases J. 2008;1(1):131
Special Interests
- Robotic and laparoscopic surgery for GI and HPB cancers
- Complex pancreatic surgery, including robotic Whipple procedures
- Liver resections for primary and metastatic liver cancers
- Advanced surgery for gallbladder and biliary tract cancers
- Robotic gastrectomy for stomach cancers and GISTs
- Minimally invasive esophagectomy (robotic and VATS)
- Complex colorectal cancer surgery, including HIPEC for peritoneal malignancies
- Management of borderline resectable and locally advanced GI-HPB tumours
- Retroperitoneal tumour resections
- Multidisciplinary surgical planning for high-risk and anatomically challenging cancers
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