林育弘醫師 — 高雄長庚體重管理中心主任・代謝減重外科・SASI・達文西手術
代謝減重外科 Metabolic & Bariatric Surgery

林育弘 醫師｜高雄長庚代謝減重外科 Yu-Hung Lin, MD PhD — Metabolic & Bariatric Surgery, Kaohsiung

Yu-Hung Lin, MD PhD 林育弘 醫師
體重管理中心 主任 Director, Weight Management Centre 劍橋大學 臨床生化 博士 PhD, University of Cambridge 一般外科 副主任 Vice Chief, General Surgery
37+
SCI 期刊論文 SCI Publications
15+
年外科資歷 Years Experience
3
代謝手術術式 Bariatric Procedures

🔪 手術專科領域｜SASI・縮胃・OAGB・達文西微創・胃癌・逆流手術 Surgical Specialties — SASI, Sleeve, OAGB, da Vinci, Gastric Cancer & Anti-Reflux

⚡

SASI / SASJ－雙通道

保留十二指腸通路，食物同時流經縮胃管與曠置腸段，兼具限制攝取與代謝改善的雙重效果。適合第二型糖尿病、代謝症候群或希望保留胃鏡可及性的患者。國際研究顯示術後兩年多餘體重減少率（%EWL）可達 75–85%，糖尿病緩解率超過 80%。林育弘醫師擁有豐富 SASI／SASJ 手術經驗，並發表多篇 SCI 期刊論文。 Food passes simultaneously through the sleeve and a bypassed intestinal limb, combining restriction with metabolic benefits. Ideal for type 2 diabetes, metabolic syndrome, or when endoscopic access must be preserved. International data report 75–85% excess weight loss at 2 years and diabetes remission exceeding 80%. Dr Lin has extensive SASI/SASJ experience with multiple published SCI papers.

✂️

袖狀胃切除術 Sleeve Gastrectomy

切除約 80% 胃體積，形成管狀小胃，降低食量並減少飢餓素（Ghrelin）分泌，不改變腸道結構。手術時間短、風險相對低，是目前全球執行率最高的減重術式。適合初次手術、BMI 27.5–35（合併代謝疾病）或 BMI ≥35 的患者。若術後出現明顯胃食道逆流，可視情況進一步修正為 SASI 或 OAGB。 Removes approximately 80% of gastric volume to form a narrow sleeve, reducing intake and suppressing ghrelin without altering intestinal anatomy. Shorter operative time and lower risk profile make this the world's most commonly performed bariatric procedure. Suitable for first-time surgery, BMI 27.5–35 with comorbidities, or BMI ≥35. Revisional conversion to SASI or OAGB is available if reflux develops.

🔄

OAGB－單接口胃繞道

僅一個吻合口的胃繞道手術，操作精簡、手術時間短，同時具備出色的長期減重與代謝改善效果。適合 BMI 極高（≥50）、需要強力代謝控制或縮胃效果不足需修正的患者。10 年追蹤研究顯示減重維持率優於縮胃，糖尿病、高血脂等代謝疾病改善顯著，術後補充維生素需求單純。 A streamlined single-anastomosis bypass offering shorter operative time and potent long-term results. Preferred for BMI ≥50, aggressive metabolic control, or after inadequate sleeve response. Ten-year data demonstrate superior weight maintenance vs sleeve, with significant improvement in diabetes and dyslipidaemia. Post-operative supplementation requirements are straightforward.

🩺

達文西機器手臂・腹腔鏡胃腸外科 da Vinci Robotic & Laparoscopic GI Surgery

達文西機器手臂提供 10 倍放大 3D 視野與 360° 關節式器械，在食道胃交接區等狹窄解剖空間具有明顯優勢。本中心提供達文西輔助胃底折疊術（抗逆流）、食道裂孔疝氣修補，以及胃腸道腫瘤切除，適合解剖位置複雜或需精準縫合的患者，傷口小、術後恢復快。 The da Vinci system provides 10× magnified 3D visualisation and 360° articulated instruments — a clear advantage in confined spaces like the oesophagogastric junction. Procedures include robotic anti-reflux fundoplication, hiatal hernia repair, and gastrointestinal tumour resection, ideal for anatomically complex cases requiring precise dissection and minimal scarring.

🔬

達文西機器手臂・腹腔鏡 膽囊、疝氣手術 da Vinci Robotic & Laparoscopic Cholecystectomy & Hernia Repair

提供單孔（Single-port）及多孔達文西膽囊切除術，傷口隱藏於肚臍、幾乎無可見疤痕，術後恢復快速。疝氣手術涵蓋腹股溝直疝／斜疝及腹壁切口疝，達文西機器手臂可提供更大縫合張力與精準網片定位，有效降低復發率。仁武、楠梓地區患者可就近至健仁醫院門診。 Single-port and multi-port da Vinci cholecystectomy conceals the incision in the umbilicus, leaving a near-invisible scar with rapid recovery. Hernia repairs cover inguinal (direct/indirect) and ventral/incisional types; robotic assistance delivers superior suture tension and precise mesh placement, reducing recurrence. Patients in Renwu and Nanzi areas may attend the Jiannren Hospital clinic.

🔁

修正手術 Revision / Conversion Revision / Conversion Surgery

專為曾接受減重手術但出現縮胃後嚴重逆流、食道裂孔疝氣復發、復胖或體重平台的患者設計。林育弘醫師每年接受來自各地的修正手術轉診，可依個別狀況選擇轉換為 SASI、OAGB 或 Transit Bipartition，並提供達文西機器手臂輔助以降低修正手術難度。攜帶手術紀錄及相關影像來診可獲得最完整評估。 Designed for patients with prior bariatric surgery experiencing severe GERD after sleeve gastrectomy, recurrent hiatal hernia, weight regain, or plateau. Dr Lin receives revisional referrals from across Taiwan. Conversion options include SASI, OAGB, or Transit Bipartition, with da Vinci robotic assistance available to reduce technical complexity. Bring operative notes and imaging for a comprehensive evaluation.

🔭

胃癌微創手術（腹腔鏡・達文西） Minimally Invasive Gastric Cancer Surgery (Laparoscopic & da Vinci)

專精腹腔鏡及達文西機器手臂輔助胃癌切除手術，包括早期胃癌的胃部分切除（遠端、近端）及進展期胃癌的全胃切除手術，並搭配淋巴結清掃（D1+/D2）。達文西機器手臂在狹窄的胃後壁及脾臟周邊淋巴結清掃具明顯優勢，可降低出血量、減少併發症。手術在高雄長庚紀念醫院施行，患者可獲跨科別腫瘤整合照護。 Specialising in laparoscopic and da Vinci robotic gastrectomy for gastric cancer, including distal and proximal partial gastrectomy for early-stage disease and total gastrectomy with D1+/D2 lymph node dissection for advanced cases. Robotic assistance offers clear advantages around the posterior gastric wall and perisplenic lymphatics, reducing blood loss and complication rates. Surgery is performed at Kaohsiung Chang Gung Memorial Hospital within a multidisciplinary oncology team.

🌡️

食道裂孔疝氣及胃食道逆流手術 Hiatal Hernia & Anti-Reflux Surgery

針對藥物治療無效的胃食道逆流（GERD）及食道裂孔疝氣患者，提供腹腔鏡及達文西機器手臂輔助胃底折疊術（Nissen / Toupet Fundoplication）及食道裂孔修補術。對於減重手術後發生逆流或疝氣復發的複雜案例，林醫師擁有豐富的再次手術與修正經驗，可同步完成疝氣修補與術式轉換，一次解決根本問題。 For patients with refractory GERD or hiatal hernia unresponsive to medication, offering laparoscopic and da Vinci robotic Nissen/Toupet fundoplication and hiatal repair. For the complex subset — patients who develop reflux or recurrent hernia after prior bariatric surgery — Dr Lin has extensive re-operative experience and can combine hernia repair with procedure conversion in a single operation to address the root cause definitively.

🎓 學歷與培訓 Education & Training

2017 – 2022

臨床生化博士（PhD）｜英國劍橋大學 PhD in Clinical Biochemistry · University of Cambridge, UK

代謝科學研究所 Institute of Metabolic Science · 指導教授 Prof. Antonio Vidal-Puig · Dr Sergio Rodriguez-Cuenca Institute of Metabolic Science · Supervisors: Prof. Antonio Vidal-Puig · Dr Sergio Rodriguez-Cuenca

論文研究：THADA 基因在能量恆定中的角色 Thesis: The role of THADA in energy homeostasis

1999 – 2006

醫學士（MD）｜高雄醫學大學 Doctor of Medicine (MD) · Kaohsiung Medical University

醫學院 醫學系 School of Medicine

💼 現職與資歷 Positions & Career

2024 – 現在

國際醫療中心 副主任 Deputy Director, International Medical Center

高雄長庚紀念醫院 Kaohsiung Chang Gung Memorial Hospital

2023 – 現在

一般外科 副主任 Vice Chief, Division of General Surgery

高雄長庚紀念醫院 Kaohsiung Chang Gung Memorial Hospital

2017 – 現在

外科部 助理教授 Assistant Professor of Surgery

長庚紀念醫院 Chang Gung Memorial Hospital

2012 – 2023

主治外科醫師・肝臟移植外科 Attending Surgeon, Liver Transplantation Programme

高雄長庚紀念醫院 一般外科 Division of General Surgery, Kaohsiung Chang Gung Memorial Hospital

2007 – 2012

住院醫師・外科總醫師 Surgical Residency & Chief Resident

高雄長庚紀念醫院 一般外科 Division of General Surgery, Kaohsiung Chang Gung Memorial Hospital

🔬 研究方向 Research Interests

林醫師的研究橫跨 代謝外科手術成效、能量代謝生理學 與 分子機轉 等領域。 在英國劍橋大學攻讀博士期間，他專注於能量恆定相關基因 THADA 的功能，並深入探討肥胖與胰島素阻抗在脂肪組織中的調控機制。相關成果發表於 International Journal of Surgery、Nature Metabolism 等國際頂尖期刊，獲得學界高度肯定。 Dr Lin's research spans metabolic surgery outcomes, energy metabolism physiology, and molecular mechanisms of obesity. During his PhD at Cambridge, he investigated the function of the energy homeostasis gene THADA and explored the regulatory mechanisms of adipose tissue in obesity and insulin resistance. His findings have been published in top international journals including International Journal of Surgery and Nature Metabolism, receiving wide recognition in the academic community.

返台後，林醫師持續投入 代謝手術長期成效 的臨床研究，特別聚焦於 SASJ／SASI 術式 的多中心資料分析，致力於建立更精準的代謝手術治療策略。 Back in Taiwan, Dr Lin continues clinical research into long-term metabolic surgery outcomes, with a particular focus on multi-centre data analysis of the SASJ/SASI procedure, working towards more precise treatment strategies in metabolic surgery.

在臨床方面，從一開始的肝臟手術、移植、胰臟手術到胃癌、膽囊、疝氣及減重手術，奠定了紮實的基礎。林醫師專精於 微創腹部腸胃道手術，從早期腹腔鏡手術的發展，到現今的 機器手臂輔助手術，皆持續精進技術並累積豐富經驗。 Clinically, Dr Lin built a solid foundation across liver surgery, transplantation, pancreatic surgery, gastric cancer, cholecystectomy, hernia repair, and bariatric surgery. He specialises in minimally invasive abdominal and gastrointestinal surgery, advancing his skills from early laparoscopic techniques through to today's robotic-assisted procedures.

代謝手術長期追蹤 Metabolic Surgery Outcomes SASI / SASJ 糖胖症治療 Diabesity Treatment 能量代謝基因體學 Energy Metabolism Genomics 脂肪組織發炎與纖維化 Adipose Tissue Fibro-inflammation GLP-1 / 腸泌素

📄 代表著作（精選） Selected Publications

Obes Surg 2025
單吻合袖狀腸道繞道術（SASJ）已成為台灣代謝減重手術首位 Single Anastomosis Sleeve Jejunal Bypass (SASJ) Has Become the Leading Metabolic Bariatric Surgery in Taiwan
Lin YH, Ser KH, Lee MH, Soong TC, Lee WJ · Obesity Surgery, 2025
Int J Surg 2026
SASJ 與袖狀胃切除術兩年成效比較：台灣多中心研究 Two-year outcomes of SASJ vs Sleeve Gastrectomy: A Taiwanese Multi-centre Study
Lin YH, Lee MH, Ser KH, Liu YY, Hsu CY, Soong TC, Lee WJ · International Journal of Surgery, 2026
Nature Metabolism 2022
肥胖中巨噬細胞 PEPD 失調決定脂肪組織發炎纖維化與胰島素阻抗 Dysregulation of macrophage PEPD in obesity determines adipose tissue fibro-inflammation and insulin resistance
Pellegrinelli V, Rodriguez-Cuenca S, … Lin YH, … Vidal-Puig A · Nature Metabolism 4(4):476–494, 2022
Obes Surg 2016
垂直束帶胃縮術 15 年長期追蹤：與其他限制型術式之比較 15-year follow-up of vertical banded gastroplasty: comparison with other restrictive procedures
Lin YH, Lee WJ, Ser KH, Chen SC, Chen JC · Surgical Endoscopy 30(2):489–494, 2016
Obes Surg 2014
腹腔鏡袖狀胃切除術 vs 單接口胃繞道治療第二型糖尿病：五年隨機試驗結果 Laparoscopic Sleeve Gastrectomy Versus Single Anastomosis (Mini-) Gastric Bypass for T2DM: 5-Year Results of a Randomised Trial
Lee WJ, Chong K, Lin YH, Wei JH, Chen SC · Obesity Surgery 24(9):1552–1562, 2014
Obes Surg 2014
單接口胃繞道（SAGB/OAGB）：臨床證據評估 Single-Anastomosis Gastric Bypass (SAGB): Appraisal of Clinical Evidence
Lee WJ, Lin YH · Obesity Surgery 24(10):1749–1756, 2014
Ann Surg 2016
大型肝臟手術基準定義：5,202 名活體肝捐者多中心分析 Defining Benchmarks for Major Liver Surgery: A Multicentre Analysis of 5,202 Living Liver Donors
Rössler F, Sapisochin G, Song G, Lin YH, … Clavien PA · Annals of Surgery 264(3), 2016

* 完整著作列表請見 PubMed（共 37 篇 SCI 論文） * Full publication list available on PubMed (37 SCI-indexed papers)

🏅 專業資格與學會會籍 Credentials & Professional Memberships

💬 常見問題 FAQ Frequently Asked Questions

林育弘醫師的專長手術有哪些？ What surgical procedures does Dr Lin specialise in?

主要專長包括：SASI／SASJ 雙通道胃繞道、袖狀胃切除術（縮胃）、OAGB 單接口胃繞道，以及各類修正轉換手術。此外，林醫師亦提供達文西機器手臂輔助微創外科，包括膽囊切除術（單孔／多孔）、腹股溝及腹壁疝氣修補、食道裂孔疝氣修補及胃食道逆流（GERD）手術，以及腹腔鏡／達文西胃癌切除手術（含淋巴結清掃）。 Core specialties include SASI/SASJ dual-anastomosis bypass, sleeve gastrectomy, OAGB single-anastomosis bypass, and revisional/conversion surgery. Dr Lin also offers da Vinci robotic and laparoscopic procedures: single-port and multi-port cholecystectomy, inguinal and ventral hernia repair, hiatal hernia repair, anti-reflux fundoplication (GERD surgery), and gastrectomy with lymph node dissection for gastric cancer.

達文西機器手臂減重手術和傳統腹腔鏡有何不同？ How does da Vinci robotic bariatric surgery differ from standard laparoscopy?

達文西提供 10 倍放大 3D 視野與 360° 關節器械，可在狹窄的解剖空間執行更精細的操作，尤其在修正手術或食道胃交接部位具明顯優勢。傷口更小（最少可單孔進行）、出血量少、恢復更快。並非每位患者都需要達文西，醫師會依手術類型與個別狀況建議最適術式。 The da Vinci system offers 10× magnified 3D vision and 360° articulated instruments — a clear advantage in confined spaces such as the oesophagogastric junction, particularly in revisional cases. Incisions are smaller (single-port is possible), blood loss is reduced, and recovery is faster. Not every patient requires robotic assistance; the surgeon recommends the most appropriate approach based on each case.

SASI 雙通道和縮胃，哪個比較適合我？ SASI vs sleeve gastrectomy — which is right for me?

選擇取決於您的 BMI、是否有第二型糖尿病或代謝疾病、有無胃食道逆流史，以及是否需要保留胃鏡可及性。一般而言，有代謝疾病者 SASI 的代謝改善效果更優；偏好相對簡單術式者，縮胃是合理選項，但需注意縮胃後逆流風險。建議到門診進行完整評估，由醫師依個人狀況給予建議。 The choice depends on BMI, presence of type 2 diabetes or metabolic disease, history of reflux, and whether endoscopic surveillance needs to be preserved. SASI generally offers superior metabolic outcomes for patients with comorbidities; sleeve is a reasonable option for straightforward weight loss but carries a higher reflux risk long-term. A full consultation is recommended before deciding.

縮胃手術後出現嚴重胃食道逆流，可以修正嗎？ Can severe GERD after sleeve gastrectomy be corrected?

可以。縮胃後逆流是常見的長期問題，藥物控制不佳時可透過手術從根本解決。常見修正選項包括轉換為 SASI、OAGB 或 Transit Bipartition 以降低胃內壓，並視情況合併食道裂孔疝氣修補。林育弘醫師有豐富的修正手術經驗，可依實際狀況制定個別化計畫，建議攜帶胃鏡報告及電腦斷層影像前來評估。 Yes. Post-sleeve GERD is a well-recognised long-term complication; when medication fails, surgical revision can resolve it definitively. Common options include conversion to SASI, OAGB, or Transit Bipartition to decompress intragastric pressure, combined with hiatal hernia repair as needed. Dr Lin has extensive revisional experience and can devise an individualised plan. Please bring endoscopy reports and CT imaging to your appointment.

我在屏東，可以到高雄長庚找林醫師看診嗎？ I'm based in Pingtung — can I see Dr Lin at Kaohsiung Chang Gung?

完全可以。由屏東市開車至高雄長庚鳥松院區約 30–40 分鐘，許多屏東患者已在本中心接受減重手術及術後長期追蹤。歡迎致電 07-7317123 轉 3373 或 FB 私訊預約。 Absolutely. The Niaosong campus of Kaohsiung Chang Gung is approximately 30–40 minutes by car from Pingtung City, and many Pingtung patients already receive surgery and long-term follow-up here. The initial consultation is typically a single visit; post-operative check-ins can often be conducted by phone or Facebook message. Call 07-7317123 ext. 3373 or message us on Facebook to book.

林醫師接受外院轉診的修正手術嗎？ Does Dr Lin accept revisional surgery referrals from other hospitals?

是的。本中心每年接受來自全台各地的修正手術轉診案例。如您曾於其他院所接受減重手術，但出現復胖、逆流、食物不耐受、疝氣復發或其他複雜問題，歡迎攜帶手術相關資料（手術紀錄、胃鏡報告、電腦斷層等）前來門診，林醫師將為您擬定最完整的評估與處置計畫。 Yes. The centre receives revisional referrals from across Taiwan each year. If you have had bariatric surgery elsewhere and are experiencing weight regain, reflux, food intolerance, recurrent hernia, or other complex issues, please bring your operative notes, endoscopy reports, and CT imaging. Dr Lin will provide a comprehensive evaluation and individualised management plan.

🏥 門診與手術地點 Clinic & Surgery Locations

林醫師於以下三間醫院提供服務，包括代謝減重手術及一般微創外科手術，患者可就近選擇最便利的地點。 Dr Lin sees patients at three hospitals, offering both bariatric/metabolic surgery and minimally invasive general surgery. Choose the location most convenient for you.

高雄長庚紀念醫院 Kaohsiung Chang Gung Memorial Hospital
🏥 主要醫院Main 🔪 手術Surgery ＋ 一般外科General Surgery
高雄市鳥松區大埤路 123 號
醫學大樓二樓 體重管理中心 2F Medical Building, 123 Da-Pi Rd, Niao-Sung, Kaohsiung
🤖 達文西機器手臂手術（單孔／多孔）：提供達文西輔助微創手術，包括單孔及多孔膽囊切除術、腹股溝疝氣及腹壁疝氣修補術，精準微創、傷口更小、恢復更快。 🤖 Robotic Surgery (da Vinci — single-port & multi-port): Robotic-assisted minimally invasive procedures including cholecystectomy, inguinal hernia repair, and ventral hernia repair. Smaller incisions, faster recovery.
線上掛號 → Book Online →
高雄楠梓健仁醫院 Kaohsiung Nanzi Jiannren Hospital
🔪 手術Surgery ＋ 一般外科General Surgery
📅 週二下午門診 📅 Tuesday afternoon
高雄市楠梓區 Nanzi District, Kaohsiung
📍 仁武、楠梓地區的朋友請注意：除代謝減重手術外，林醫師亦提供腹腔鏡一般外科手術，包括微創膽囊切除術、疝氣修補術及腹腔鏡闌尾切除術。如有需要，歡迎就近前來健仁醫院就診。 📍 Local note (Renwu & Nanzi): In addition to bariatric surgery, Dr Lin performs minimally invasive general surgery at Jiannren — including laparoscopic cholecystectomy, hernia repair, and appendectomy.
線上掛號 → Book Online →
高雄大同醫院 Kaohsiung Datong Hospital
🔪 手術Surgery ＋ 一般外科General Surgery
高雄市前金區 Qianjin District, Kaohsiung
🤖 達文西機器手臂手術（多孔）：提供多孔達文西輔助微創手術，包括膽囊切除術、腹股溝疝氣及腹壁疝氣修補術，精準微創、傷口更小、恢復更快。 🤖 Robotic Surgery (da Vinci — multi-port): Robotic-assisted minimally invasive procedures including cholecystectomy, inguinal hernia repair, and ventral hernia repair. Smaller incisions, faster recovery.
線上掛號 → Book Online →

預約林育弘醫師門診 Book a Consultation with Dr Lin

高雄長庚體重管理中心・高雄市鳥松區大埤路 123 號 醫學大樓二樓 Weight Management Centre, 2F Medical Building, 123 Da-Pi Rd, Niao-Sung, Kaohsiung

查看門診地點與掛號連結 ↓ View Clinic Locations & Booking Links ↓ FB 私訊諮詢 Message Us on Facebook