Objective:Accurate staging of lymph nodes in lung most become cases had important to decide the alternatives of treatment modalities, analysis. tissue analysis could be achieved by C.T guided biopsy, endobronchial ultrasound-guided transbronchial needle aspiration (E.B.U.S-T.B.N.A), endoscopic ultrasound-guided satisfactory needle aspiration (E.U.S-F.N.A). Positive effects do no longer want similarly confirmation video assisted mediastinoscope had a gold fashionable minimum invasive technique approach for staging of lung bosom, it had the best sensitivity, specificity for staging of lymph in lung most bosoms sufferers. Aim of the work: The intention of this take a look at to assess the critical of video-assisted-mediastinoscopic for diagnosis, staging of lung most bosoms. Patients and Methods: Cases with parenchymal lung lesions more than 3cm had included in our look at with or without L.N enlargement recognized via C.T or P.E.T.S, parenchymal lung lesions less than 3 cm in diameter. Overall of cases underwent video assisted mediastinoscopy, prolonged video assisted mediastinoscope underneath fashionable anesthesia with a unmarried-lumen endotracheal tube. The affected person supine with a roll beneath the shoulders to offer extension of the neck. Stations 2, four, 7 nodes had without difficulty accessible for excisional biopsy with fatty tissue around L.N. Results:A overall of 60 sufferers with lung lesions 3cm in diameter underwent Video Assisted Mediastinoscope (with mean age of 52.5±nine.8 years They had 40 cases, 20 ladies. The maximum common place affected sufferers, observed by means of lymph station changed into gathering 7 in 33.Three% of mixed lymph nodes involvement in 21.7% of sufferers, in which station 7 become also the most typical website online mixed with different lymph stations Adenocarcinoma in 48.Three%,Squamous cellular carcinoma in 36.7% Conclusion:Video assisted mediastinoscope had a gold general minimum invasive technique approach for staging of lung bosom