Freedom Health Insurance

The Exeter

Healix Health Services

Cigna

Bupa

Allianz Worldwide Care

AXA Health

Aviva Health

Vitality

Aetna

Benenden Health

Self-pay only

Thoracic Surgery

Robotic Surgery

Lung Cancer

Rib Surgery

Thoracic (Lung) Surgery

Pectus Excavatum

Excision of Benign Lesions

Rib Injury

Slipped Rib Syndrome

Bronchoscopy

Empyema

Rib Pain

Thymoma

Chest Wall Deformities

Fracture

Hyperhidrosis (Excessive Sweating)

Lung Volume Reduction Surgery

Dr Nikos was exemplary, he was efficient, communicative, and made us all feel comfortable and at ease. 

Nicolaos is highly recommended surgeon, who is truly professional and personable. He deeply cares about patients and our robotic surgery experience with him was excellent with no complications, rapid post op recovery and great after care. Thanks for everything. 

Excellent care and treatment. Superb bedside manner and professionalism.

Very fast move from illness to surgery - and great support during recovery

He made the whole experience 
Completely stress free…. Very professional and always smiling and his staff were excellent… I would highly recommend Nikolais and his team 

I was in big trouble and scared when I first saw Mr Panagiotopoulis. he instantly reassured me and made me feel I was in safe hands with his professionalism and kindness. The treatment I have received from him so far could not be better. He is one of the very best and I cant thank him enough 

Dr Nikolaos has been tremendous throughout the entire process from diagnosis right the way through to surgery. I would recommend him to anybody looking for an excellent thoracic surgeon. 

Nick is the dream doctor. His genuine kindness, compassion and empathy is matched with the ultimate in professionalism and knowledge.  
My 83-year-old father had a major operation, which a few years ago would have knocked someone a quarter his age out for a few weeks and he was back going out for lunch in a matter of days!  My Father and the rest of the family felt so well held and supported by him throughout.
He's a wonderful surgeon and a lovely man.

Thank you so much Nick!  Bless you.

Simon Freedman

Very professional, gave very good explanations and confidence in my procedure. 

Excellent experience from my 1st appointment. Really appreciated the follow up phone calls

General and Medical

Saga Health Insurance

The PHC

Simply Health (Dental)

Bupa Fee Assured

English

German

Greek

Dr Panagiotopoulos is an outstanding doctor and surgeon. Throughout my medical treatment, he clearly explained every procedure and was always available to answer any questions. I felt well cared for at all times, and the service he provided was exceptional.

The robotic approach for paralysed/ raised or ruptured diaphragm is associated with significant benefits for faster recovery, smaller scars and superior outcome

Robotic plication for paralysed diaphragm 

Robotic thymectomy is set to become the standard technique for thymectomy in patient affected by early stage thymic tumours ( thymoma and thymic carcinoma) and myasthenia gravis

Facilitating robotic thymectomy in patients with pectus excavatum deformity - PubMed

Slipping rib syndrome (SRS) is a condition where the affected rib slips under the superior adjacent rib. During this movement the intercostal nerve is trapped triggering the symptoms.

These include persistent discomfort, sharp pain in the lower ribs along with a burning sensation and possible radiating symptoms to the anterior ribs or the back. 

While still relatively unfamiliar to most healthcare providers it accounts for approximately five percent of all musculoskeletal chest pain. 

Initial diagnosis can be made with clinical examination and confirmed with a dynamic ultrasound along with intercostal nerve block injection.  Conservative treatment include rest, analgesia, anti-inflammatory medication and surgery for the stabilisation of the rib can provide a definitive solution in selected patients. 

Managing slipping rib syndrome 

Slipping rib London - slipped rib surgical and non surgical treatment London

Most commonly affected ribs -Slipping rib syndrome 

Robotic sympathectomy represents the latest minimally invasive technique for the definitive management of hyperhidrosis.  As a surgical procedure is the last resort for patients suffering from sweating symptoms where conservative non surgical treatments are not beneficial. With 2 or 3 tiny incisions of 8mm each we visualise the sympathetic chain and we disrupt it to the appropriate level. The symptoms of excessive sweating are immediately improved. Patient with palmar and armpit sweating are mostly benefited by the procedure. Usually the patient remains in hospital for about 24 hours.

Robotic Sympathectomy for Hyperhidrosis 

Surgical and conservative management for fractured ribs 

Treatment options for fractured ribs 

Treatment options for patients with oligo - metastatic non small cell lung cancer


Surgery for oligometastatic non small cell lung cancer

Thoracic surgeon Mr Nikolaos Panagiotopoulos wants his patients to feel comfortable and be part of the decision making throughout the process. He see patients for the diagnosis and treatment of lung cancer, thymic malignancies, pulmonary metastases, mesothelioma and all other benign and malignant surgical pathologies of the chest cavity. 

Mr Nikolaos Panagiotopoulos | Cleveland Clinic London Thoracic Surgery

Excellence in Collaboration: A Multispecialty Surgical Success Story 
Mr Nikolaos Panagiotopoulos, Consultant Thoracic and Robotic Surgeon Cleveland Clinic London











Guitarist Back on Stage After Tumour Threatens His Ability To Perform

Robotic Surgery for Thoracic Endometriosis

By Nikolaos Panagiotopoulos, Consultant Thoracic Surgeon

Thoracic endometriosis is a complex and often underdiagnosed condition in which endometrial tissue grows within the chest cavity, affecting the diaphragm, lungs, or pleura. Many patients present with symptoms such as cyclic chest pain, shoulder pain, coughing blood, or catamenial pneumothorax—lung collapse associated with the menstrual cycle.

Traditional approaches to treating thoracic endometriosis can be challenging due to the delicate anatomy of the diaphragm and the need for complete removal of implants to reduce recurrence. This is where robotic thoracic surgery has become a transformative option.

Using the Da Vinci Xi robotic platform, surgeons can operate with exceptional precision, enhanced 3D visualisation, and improved instrument dexterity. These advantages allow for accurate excision of diaphragmatic implants, repair of fenestrations or defects, removal of pleural disease, and targeted treatment of lung involvement through small incisions.

Robotic surgery offers significant benefits for patients, including less postoperative pain, minimal scarring, shorter hospital stays, and faster recovery. For women whose symptoms have been overlooked for years, this technology provides a safer and more effective route to diagnosis and long-term relief.

By combining robotic expertise with a multidisciplinary endometriosis team, we can deliver personalised, comprehensive care for patients with thoracic involvement—helping them return to a life free from recurrence and uncertainty.

Robotic Surgery for Thoracic Endometriosis

🤖🫁 Robotic Navigational Bronchoscopy ION 

Early lung cancer detection is evolving.
Robotic navigational bronchoscopy allows us to reach small, hard-to-access lung nodules with exceptional precision—often avoiding more invasive procedures.

By combining advanced robotics, real-time navigation, and minimally invasive techniques, we can achieve more accurate diagnoses, improved safety, and faster recovery for patients.

Innovation in thoracic surgery isn’t just about technology—it’s about delivering better outcomes, earlier answers, and personalised care.

Reviews